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BIVV009

Phase 3

Agglutinin Disease, Cold | Small molecule | Other |Sanofi|Trials Updated: Sep 15, 2025

BIVV009 development status

Highest phase Phase 3
Registered trials 2 across 2 sponsors since Nov 2017

BIVV009 target and mechanism

ModalitySmall molecule

Also known as Sutimlimab

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment73

FDA Designations

No designations recorded

BIVV009 clinical trials

BIVV009 · 3 trials · 2 indications

Phase 3 3
NCT05132127Sutimlimab (BIVV009) for the Adult Participants With Cold Agglutinin Disease (CAD) Who Have Completed Phase 3 Studies (CARDINAL or CADENZA) in JapanCold Agglutinin Disease
COMPLETED7 Analytics
NCT03347422A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease Without A Recent History of Blood TransfusionCold Agglutinin Disease
COMPLETED42 Analytics
NCT03347396A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease Who Have a Recent History of Blood Transfusion (Cardinal Study)Agglutinin Disease, Cold
COMPLETED24 Analytics
PHASE3COMPLETED
Sutimlimab (BIVV009) for the Adult Participants With Cold Agglutinin Disease (CAD) Who Have Completed Phase 3 Studies (CARDINAL or CADENZA) in Japan
Cold Agglutinin DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease Without A Recent History of Blood Transfusion
Cold Agglutinin DiseaseUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease Who Have a Recent History of Blood Transfusion (Cardinal Study)
Agglutinin Disease, ColdUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
From first dose of study intervention up to 9 weeks after the last dose of study intervention (maximum duration: 49 weeks)

An Adverse Event (AE) was defined as any untoward medical occurrence in a participant who received study intervention and did not necessarily had to have a causal relationship with the treatment. Serious adverse events (SAEs) were defined as any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/ incapacity, was a congenital anomaly/birth defect, suspected transmission of any infectious agent via an authorized medicinal product, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the treatment-emergent period (from first dose of study intervention up to 9 weeks after the last dose of study intervention in the current study).

Number of Participants With Treatment-emergent Adverse Events of Special Interest (AESI)
From first dose of study intervention up to 9 weeks after the last dose of study intervention (maximum duration: 49 weeks)

An AE was defined as any untoward medical occurrence in a participant who received study intervention and did not necessarily had to have a causal relationship with the treatment. AESIs were AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the investigator to the Sponsor was required.

Part A: Percentage of Participants With Response to Treatment
From Week 5 through Week 26

A participant was considered a responder: if he or she did not receive blood transfusion from Week 5 through Week 26 (end of treatment) and did not receive treatment for CAD beyond what was permitted per protocol. Additionally, participant's hemoglobin (Hgb) level must have increased to \>=1.5 grams per deciliter (g/dL) from baseline (defined as last Hgb value before administration of first dose of study drug) at treatment assessment timepoint (defined as average of values from the Week 23, 25, and 26 visits). Percentage of responders was calculated together with 95% exact Clopper-Pearson confidence interval (CI).

Part B: Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious AEs (SAEs)
Part B, 6.5 g cohort: From first dose (Week 26) up to 149 weeks of treatment + 9 weeks of follow-up (i.e., up to Week 184); Part B, 7.5 g cohort: From first dose (Week 26) up to 137 weeks of treatment + 9 weeks of follow-up (i.e., up to Week 172)

Adverse Event (AE): any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Treatment emergent serious adverse events (TESAEs) was defined as any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was congenital anomaly/birth defect, was medically important event. Treatment emergent adverse events (TEAEs): AEs that developed, worsened or became serious during the treatment-emergent (TE) period (from first investigational medicinal product \[IMP\] administration in Part B to last IMP administration + 9 weeks follow-up period).

Part B: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs)
Part B, 6.5 g cohort: From first dose (Week 27) up to 143 weeks of treatment + 9 weeks of follow-up (i.e., up to Week 179); Part B, 7.5 g cohort: From first dose (Week 27) up to 149 weeks of treatment + 9 weeks of follow-up (i.e., up to Week 185)

An Adverse Event (AE) was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. TESAEs was defined as any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the treatment-emergent (TE) period (from the first investigational medicinal product \[IMP\] administration in Part B to the last IMP administration + 9 weeks follow up period).

Secondary Endpoints

Part A: Mean Change From Baseline in Hemoglobin (Hgb) Level at the Treatment Assessment Timepoint
Baseline (Week 0), treatment assessment timepoint (i.e., average of Week 23, 25 and 26)
Part A: Mean Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score at the Treatment Assessment Timepoint
Baseline (Week 0), treatment assessment timepoint (i.e., average of Week 23, 25 and 26)
Part A: Mean Change From Baseline in Total Bilirubin Levels at the Treatment Assessment Timepoint
Baseline (Week 0), treatment assessment timepoint (i.e., average of Week 23, 25 and 26)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SutimlimabEXPERIMENTALParticipants with body weight greater than or equal to (\>=) 39 kilograms (kg) to less than (\<) 75 kg and who had completed Part B of CARDINAL or CADENZA study were enrolled in the current study and received sutimlimab (BIVV009) 6.5 grams as intravenous (IV) infusion on Day 0, Day 7, Day 21 and thereafter every 2 weeks (maximum duration: 49 weeks) in the current study.
BIVV009/BIVV009EXPERIMENTALParticipants with primary CAD and without a recent history of blood transfusion during the last 6 months prior to enrollment in this study, received an intravenous (IV) infusion of BIVV009 6.5 g (for participants less than \[\<\]75 kilograms \[kg\]) or 7.5 g dose (for participants greater than or equal to \[\>=\]75 kg) on Day 0 and Day 7 and every 14 days thereafter in Part A up to Week 25. Participants who completed Part A per protocol through the end of treatment visit (Week 26), received placebo on Week 26 and continued to receive BIVV009 6.5 or 7.5 g in Part B, every 2 weeks starting at Week 27 for up to an additional 149 weeks (for 6.5 g) or 121 weeks (for 7.5 g). All participants who completed Part A elected to continue in Part B.
Placebo/BIVV009EXPERIMENTALParticipants with primary CAD and without a recent history of blood transfusion during the last 6 months prior to enrollment in this study, received an IV infusion of placebo matched to BIVV009 on Day 0 and Day 7 and every 14 days thereafter in Part A up to Week 25. Participants who completed Part A per protocol through the end of treatment visit (Week 26) received BIVV009 6.5 (if \<75 kg) or 7.5 g (if \>=75 kg) in Part B, on Week 26 and Week 27 and every 2 weeks thereafter for up to an additional 123 weeks (for 6.5 g) or 137 weeks (for 7.5 g). All participants who completed Part A elected to continue in Part B.
BIVV009EXPERIMENTALParticipants with primary CAD who had a recent history of transfusion (defined as at least 1 transfusion during the last 6 months prior to screening) received an intravenous (IV) infusion of BIVV009 6.5 grams (g) (if body weight was less than \[\<\] 75 kilograms \[kg\]) or BIVV009 7.5 g (if body weight was greater than or equal to \[\>=\] 75 kg) on Day 0 and Day 7 and every 14 days thereafter in Part A up to Week 25. Participants who completed Part A per protocol through the end of treatment visit (Week 26) could continue to receive BIVV009 in Part B, every 2 weeks starting at Week 27 for up to an additional 149 weeks. All participants who completed Part A elected to continue in Part B.

Interventions

NameTypeDescription
sutimlimabDRUGPharmaceutical form: solution for injection Route of administration: intravenous (IV)
sutimlimab (BIVV009)DRUGPharmaceutical form: solution for injection Route of administration: intravenous (i.v.)
placeboDRUGPharmaceutical form: solution for injection Route of administration: intravenous (i.v.)
BIVV009DRUGSutimlimab was administered as intravenous (IV) infusion.
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: --Participant must be adults. * Participants who had been enrolled in and had completed Part B of CARDINAL or CADENZA study. * Participants who had ongoing diagnosis of CAD. * Participants who continued to require treatment for CAD upon completion of participation in the previo...

Countries:JapanUnited StatesAustraliaAustriaBelgiumCanadaFranceGermanyIsraelItalyNetherlandsNorwaySpainUnited Kingdom
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Frequently asked questions about BIVV009

What is BIVV009 used for?

BIVV009 is an investigational drug being studied for the treatment of cold agglutinin disease, a condition where the immune system attacks and destroys red blood cells at low temperatures. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities.

Who makes BIVV009?

BIVV009 is being developed by Sanofi, a multinational pharmaceutical company traded on the stock exchange under the ticker symbol SNY. The drug is currently in Phase 3 clinical trials for cold agglutinin disease.

What phase is BIVV009 in?

BIVV009 is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory agencies. The drug is being studied for the treatment of cold agglutinin disease, and its Phase 3 trial has been completed.

What clinical trials is BIVV009 in?

BIVV009 has one completed Phase 3 clinical trial with the identifier NCT03347396, known as the Cardinal Study. This trial assessed the efficacy and safety of BIVV009 in participants with primary cold agglutinin disease who had a recent history of blood transfusion. The study enrolled 24 participants.

Is BIVV009 the same as sutimlimab?

Yes, BIVV009 is also known as sutimlimab. The clinical trial NCT03347396, which studied BIVV009, is titled 'A Study to Assess the Efficacy and Safety of BIVV009 (Sutimlimab) in Participants With Primary Cold Agglutinin Disease Who Have a Recent History of Blood Transfusion (Cardinal Study).'