RedHill Biopharma Advances RHB-204 Trial with FDA Support: A Step Towards a Breakthrough in Crohn's Disease Treatment

Monday, Jul 21, 2025 8:34 pm ET1min read

RedHill Biopharma has secured FDA support for its RHB-204 Crohn's disease program, enabling a Phase 2 study targeting MAP-infected patients. The trial aims to achieve primary endpoints of mucosal remission, offering a significant treatment alternative for unresponsive patients. The Crohn's disease market is projected to grow to $19.1 billion by 2033. Analysts forecast an average target price of $19,000, with an upside of 1,021,405.38% from the current price of $1.86.

RedHill Biopharma has received positive feedback from the U.S. Food and Drug Administration (FDA) for its RHB-204 Crohn's disease program, paving the way for a Phase 2 clinical study. The study will focus on a specifically defined population of Mycobacterium avium subspecies paratuberculosis infected (MAP-positive) Crohn's disease (CD) patients, marking the first clinical trial of its kind. This groundbreaking approach aims to test MAP as the root cause of CD, potentially revolutionizing treatment options for patients who are unresponsive to current therapies.

The Phase 2 study will have primary endpoints of mucosal remission, correlated with MAP status and clinical remission, as per FDA guidance. This study is supported by the positive Phase 3 safety and efficacy results of RedHill's RHB-104, which demonstrated a statistically significant 64% improvement in efficacy [1]. The innovative design of the study, which includes the use of cutting-edge MAP detection diagnostics, allows for a smaller sample size, lower study costs, and faster time to completion.

RHB-204 is a next-generation formulation of RHB-104, designed to enhance tolerability, safety, and patient adherence. It contains a combination of clarithromycin, rifabutin, and clofazimine, with an optimized dosing profile that reduces the pill burden by 40%. The development of RHB-204 is supported by a strong foundation of clinical data and is expected to benefit from the transferal of pediatric orphan drug designation from RHB-104. Additionally, the company is exploring potential breakthrough therapy designation, fast track designation, and priority review vouchers.

The global Crohn's disease market is projected to expand significantly, with sales expected to grow from $13.6 billion in 2024 to over $19 billion in 2033 [2]. This growth presents significant commercial potential for new, paradigm-shifting, FDA-approved therapies. Analysts forecast an average target price of $19,000 for RedHill's stock, with an upside of 1,021,405.38% from the current price of $1.86.

RedHill Biopharma is actively pursuing non-dilutive financing for this groundbreaking program through innovation development grant applications and discussions with external funding sources. The company is also exploring collaborations with leading academic centers to support the development of RHB-204.

References:
[1] https://www.prnewswire.com/news-releases/redhill-receives-positive-fda-feedback-on-pathway-to-approval-of-groundbreaking-rhb-204-for-crohns-disease-302509500.html
[2] https://www.prnewswire.com/news-releases/redhill-biopharma-secures-fda-support-for-rhb-204-crohns-disease-program-302509500.html

RedHill Biopharma Advances RHB-204 Trial with FDA Support: A Step Towards a Breakthrough in Crohn's Disease Treatment

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