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Amlitelimab

Phase 3

Dermatitis Atopic | Small molecule | Dermatology |Sanofi|Last Updated: Jun 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials9
Total Enrollment6,919
FDA Designations
No designations recorded
Clinical Trials (9)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06407934A Study to Evaluate the Treatment Response and Safety of Two Dose Regimens of Subcutaneous Amlitelimab Compared With Treatment Withdrawal in Participants Aged 12 Years and Older With Moderate-to-severe Atopic DermatitisPHASE3 ACTIVE NOT_RECRUITING 1,541May 8, 2024Mar 17, 2027Apr 20, 2026326 United States, Argentina +25
NCT06241118A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab on Background Topical Corticosteroids Therapy in Participants Aged 12 Years and Older With Moderate-to-severe AD Who Have Had an Inadequate Response to Prior Biologic Therapy or an Oral JAK InhibitorPHASE3 RECRUITING 636Feb 29, 2024Sep 29, 2028Jun 5, 2026149 United States, Argentina +21
NCT06224348A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis on Background Topical CorticosteroidsPHASE3 COMPLETED 643Jan 18, 2024Nov 1, 2025Dec 2, 2025167 United States, Argentina +12
NCT06181435A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab Monotherapy Compared With Placebo in Participants Aged 12 Years and Older With Moderate-to-severe Atopic Dermatitis (COAST 2)PHASE3 COMPLETED 589Dec 21, 2023Mar 12, 2026Mar 19, 2026142 United States, Argentina +14
NCT06130566A Study to Evaluate the Efficacy and Safety of Subcutaneous Amlitelimab Monotherapy Compared With Placebo in Participants Aged 12 Years and Older With Moderate-to-severe Atopic DermatitisPHASE3 COMPLETED 601Nov 8, 2023Nov 13, 2025Nov 24, 2025148 United States, Argentina +13
NCT06015308A Study to Investigate Vaccine Responses in Subcutaneous Amlitelimab Treated Atopic Dermatitis Participants Aged 18 Years and Older Compared With PlaceboPHASE2 COMPLETED 224Oct 6, 2023Jan 16, 2026Apr 13, 202657 United States, Canada
NCT05769777Open Label, Long-term Study Evaluating Safety and Efficacy of Subcutaneous Amlitelimab in Participants Aged 12 Years and Older With Moderate to Severe Atopic DermatitisPHASE2 ACTIVE NOT_RECRUITING 999Apr 3, 2023Jun 11, 2031Apr 23, 2026174 United States, Argentina +23
NCT05492578Long-Term Safety and Efficacy Evaluation of Amlitelimab in Participants of Previous Amlitelimab Moderate to Severe Atopic Dermatitis Clinical TrialsPHASE2 ENROLLING BY_INVITATION 1,663Aug 22, 2022Jan 22, 2029Jun 3, 2026388 United States, Argentina +27
NCT06686628An Open-label, DDI Study to Investigate the Effects of Amlitelimab on the PK of Selected Cytochrome P450 SubstratesPHASE1 COMPLETED 23Nov 20, 2024Apr 2, 2026Apr 23, 20261 Germany
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Study Endpoints
Primary Endpoints
US and US reference countries: Proportion of participants who are responders AND maintained vIGA-AD ≤2 without experiencing relapse among participants who were responders at baseline of ESTUARY
Week 24

Clinical response is defined as having vIGA-AD 0 or 1. Relapse is defined as having vIGA-AD ≥3 or loss of EASI-75\^. The validated Investigator Global Assessment scale for atopic dermatitis (vIGA-AD) is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe). The Eczema Area and Severity Index (EASI) is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score. The symbol \^ represents "based on parent study baseline".

EU, EU Reference Countries, and Japan: Proportion of participants who maintain treatment response in ESTUARY without experiencing relapse
Week 48

Maintenance of clinical response is defined as having vIGA-AD 0 or 1 OR EASI-75\^ OR vIGA-AD 0 or 1 and EASI-75\^. Relapse is defined as having vIGA-AD ≥3 or loss of EASI-75\^ The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe). The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD. EASI-75 is 75% reduction from baseline in EASI score. The symbol \^ represents "based on parent study baseline".

EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
Week 36

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI75) at Week 36
Week 36

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 36
Week 36

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

EU, EU reference countries, and Japan: Proportion of participants with Validated Investigator Global Assessment scale for Atopic Dermatitis (vIGA-AD) of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

EU, EU reference countries, and Japan: Proportion of participants reaching 75% reduction from baseline in Eczema Area and Severity Index (EASI) score (EASI-75) at Week 24
Week 24

The EASI is an Investigator-assessed validated tool used to measure the extent (area) and severity of AD. Total score ranges from 0 to 72 with a higher score indicating increased extent and severity of AD.

US and US reference countries: Proportion of participants with vIGA-AD of 0 (clear) or 1 (almost clear) and a reduction from baseline of ≥2 points at Week 24
Week 24

The vIGA-AD is an Investigator-completed assessment scale used to determine severity of AD and clinical response to treatment. It is based on a 5-point scale, ranging from 0 (clear) to 4 (severe).

Percentage of participants with a positive tetanus response at Week 16
Week 16

Positive tetanus response is defined as ≥2.5 IU/mL in anti-tetanus immunoglobulin G \[IgG\] titer for participants with a pre-vaccination baseline \[Week 12\] tetanus antibody titer of \>1 IU/mL or a titer ≥ 3-fold increase for participants with a pre-vaccination titer of ≤1 IU/mL).

Percentage of participants who experienced Treatment-Emergent Adverse Events (TEAEs)
Baseline up to end of study (EOS) (Week 284)

Percentage of participants who experienced TEAEs from baseline during the study

Percentage of participants who experienced Treatment-Emergent Serious Adverse Events (TESAEs)
Baseline up to EOS (Week 284)

Percentage of participants who experienced TESAEs from baseline during the study

Percentage of participants who experienced treatment-emergent adverse event (TEAE)
Baseline to Week 332
AUC and AUClast for CYP substrates
Baseline (Day 1 to Day 8) and Day 176 to Day 183

AUC = area under the serum/plasma concentration curve; AUClast = area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast.

Secondary Endpoints
Proportion of participants who continue to be EASI-75^ among the participants who met EASI-75^ at baseline of ESTUARY
Up to Week 48
Proportion of participants who continue to be vIGA-AD 0 or 1 among participants who met vIGA-AD 0 or 1 at baseline of ESTUARY
Up to Week 48
Proportion of participants who continue to be vIGA-AD 0 or 1 with presence of only barely perceptible erythema among the participants who were vIGA-AD 0 or 1 with presence of only barely perceptible erythema at baseline of ESTUARY
Up to Week 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Amlitelimab dose 1EXPERIMENTALSubcutaneous injection as per protocol
Amlitelimab dose 2EXPERIMENTALSubcutaneous injection as per protocol
PlaceboPLACEBO_COMPARATORSubcutaneous injection as per protocol
AmlitelimabEXPERIMENTALParticipants will receive amlitelimab and vaccines as per protocol.
Amlitelimab dose level 1EXPERIMENTALSubcutaneous injection as per protocol
Amlitelimab dose level 2EXPERIMENTALSubcutaneous injection as per protocol
Amlitelimab and CYP substratesEXPERIMENTALA single oral dose of a CYP450 substrates cocktail which will include caffeine, metoprolol, midazolam, omeprazole, and warfarin will be administered. A single dose of amlitelimab will then be administered on several days. A single oral dose of CYP450 substrates cocktail in combination with the last single dose of amlitelimab.
Interventions
NameTypeDescription
AmlitelimabDRUGPharmaceutical form: Injection solution Route of administration: Subcutaneous (SC) injection
PlaceboDRUGPharmaceutical form: Injection solution Route of administration: SC injection
Topical corticosteroidsDRUGPharmaceutical form: Various Topical formulation Route of administration: Topical
Topical tacrolimus or pimecrolimusDRUGPharmaceutical form: Various Topical formulation Route of administration: Topical
Topical calcineurin inhibitorsDRUGPharmaceutical form: Topical formulation Route of administration: Topical
Tdap vaccineBIOLOGICALIntramuscular (IM) injection into the deltoid muscle of the upper arm
PPS vaccineBIOLOGICALIntramuscular or subcutaneous injection into the deltoid muscle of the upper arm
Oral corticosteroidsDRUGPharmaceutical form: Oral Route of administration: Oral
MidazolamDRUGPharmaceutical form: Solution Route of administration: Oral
CaffeineDRUGPharmaceutical form: Tablet Route of administration: Oral
MetoprololDRUGPharmaceutical form: Tablet Route of administration: Oral
OmeprazoleDRUGPharmaceutical form: Capsule Route of administration: Oral
WarfarinDRUGPharmaceutical form: Tablet Route of administration: Oral
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites326

Inclusion Criteria: * Participants must be at least 12 years of age inclusive, at the time the informed consent is signed. * Must have participated, received study treatment without permanent investigational medicinal product (IMP) discontinuation, and adequately completed the assessments required ...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaChileChinaCzechiaDenmarkFranceGermanyGreeceIndiaIsraelItalyJapanMexicoPolandPortugalSouth AfricaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United KingdomReunionSaudi ArabiaUnited Arab EmiratesNetherlandsPuerto RicoSwitzerlandHungary
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Recent Changes (Last 90 Days)
LOWJun 5, 2026NCT06241118lastUpdatePostDate: changed
LOWJun 5, 2026NCT06241118lastUpdatePostDate: changed
LOWJun 5, 2026NCT06241118lastUpdatePostDate: changed
LOWJun 5, 2026NCT06241118lastUpdatePostDate: changed
LOWJun 3, 2026NCT05492578lastUpdatePostDate: changed
LOWJun 3, 2026NCT05492578lastUpdatePostDate: changed
MEDIUMMay 26, 2026NCT06686628TRIAL_REMOVED: changed
MEDIUMMay 26, 2026NCT06241118Enrollment: 390 → 636
LOWMay 26, 2026NCT05492578primaryCompletionDate: changed
LOWMay 26, 2026NCT06407934primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT05769777Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT06241118studyFirstPostDate: changed
LOWMay 24, 2026NCT05769777studyFirstPostDate: changed
LOWMay 24, 2026NCT05492578studyFirstPostDate: changed
LOWMay 24, 2026NCT06686628studyFirstPostDate: changed
LOWMay 24, 2026NCT06407934studyFirstPostDate: changed
MEDIUMMay 21, 2026NCT06181435TRIAL_REMOVED: changed
MEDIUMMay 21, 2026NCT06181435TRIAL_REMOVED: changed