Recent Updates
Recently added Catalysts

BIVV020

Phase 2

Transplant Rejection | Small molecule | Immunology |Sanofi|Trials Updated: Aug 21, 2026

BIVV020 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Feb 2020

BIVV020 target and mechanism

ModalitySmall molecule

Also known as BIVV020 (SAR445088)

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment60

FDA Designations

No designations recorded

BIVV020 clinical trials

BIVV020 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT05156710BIVV020 (SAR445088) in Prevention and Treatment of Antibody-mediated Rejection (AMR)Transplant Rejection
ACTIVE NOT_RECRUITING48 Analytics
PHASE2ACTIVE NOT_RECRUITING
BIVV020 (SAR445088) in Prevention and Treatment of Antibody-mediated Rejection (AMR)
Transplant RejectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Cohort A: Treatment failure rate
Up to Week 49

Defined as the proportion of participants meeting at least one of the following criteria: * Biopsy-proven active AMR as per Banff Criteria 2019 as per central pathology assessment, * Graft loss.

Cohort B: AMR resolution rate
Up to Week 49

Defined as the proportion of participants with post-treatment biopsy not fulfilling active AMR diagnosis criteria as per Banff Criteria 2019 as per central pathology assessment.

Assessment of adverse events (AEs)
Screening to Day 106

Number of participants with adverse events (AEs)

Secondary Endpoints

Cohort A: Treatment failure rate per local assessment using Banff criteria 2019
Up to Week 49
Cohort B: AMR resolution rate per local assessment using Banff criteria 2019
Up to Week 49
Change in renal function from baseline per central laboratory assessment of estimated glomerular filtration rate (eGFR) from serum creatinine using Modification of Diet in Renal Disease equation (MDRD)
Up to 22 weeks after end of treatment period
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BIVV020 with Standard of Care (SOC) Cohort AEXPERIMENTALEligible participants will receive BIVV020 and SOC immunosuppression including induction therapy, tacrolimus, and mycophenolate.
BIVV020 with Standard of Care (SOC) Cohort BEXPERIMENTALEligible participants will receive BIVV020 and SOC which includes plasmapheresis, IVIg, corticosteroids, rituximab.
Standard of Care (SOC) Cohort BOTHERSOC includes plasmapheresis, IVIg, corticosteroids, rituximab.
BIVV020 IVEXPERIMENTALSingle administration dose 1, plus two optional doses of BIVV020 administered intravenously.

Interventions

NameTypeDescription
BIVV020 (SAR445088)DRUGPharmaceutical Form: Solution for injection Route of Administration: Intravenous
Intravenous immunoglobulin (IVIg)DRUGPharmaceutical Form: Solution for injection Route of Administration: Intravenous
Rituximab or biosimilarDRUGPharmaceutical Form: Solution for injection Route of Administration: Intravenous
Antithymocyte globulin (ATG)DRUGPharmaceutical Form: Solution for injection Route of Administration: Intravenous
TacrolimusDRUGPharmaceutical Form: Tablet Route of Administration: Oral
MycophenolateDRUGPharmaceutical Form: Tablet Route of Administration: Oral
CorticosteroidsDRUGPharmaceutical Form: Vary Route of Administration: Vary
BIVV020DRUGPharmaceutical form:solution for injection Route of administration: intravenous
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: -Participant intended to receive SOC therapy per Investigator's judgment and local practice. Cohort A: Participants with chronic kidney disease who will receive a kidney transplant from a living or deceased donor. Cohort B: Participants who are kidney transplant recipients dia...

Countries:United StatesCanadaFranceGermanyItalySpainSwedenNetherlandsNorwayUnited Kingdom
Unlock Eligibility Criteria

Competitive Landscape -Transplant Rejection 3 trials

CompanyTickerTrialsLead PhaseDrugs
Actinium Pharmaceuticals, Inc. (Delaware)ATNM1PHASE2/PHASE3131I-apamistamab, Allogeneic Hematopoietic Stem Cell Transplant
Unlock Competitive Intelligence

Recent Changes (Last 90 Days)

LOWAug 21, 2026NCT05156710Completion: 2026-10-26 → 2026-10-20
LOWAug 21, 2026NCT05156710Completion: 2026-10-26 → 2026-10-20

Frequently asked questions about BIVV020

What is BIVV020 used for?

BIVV020 is an investigational small molecule being developed by Sanofi for transplant rejection and autoimmune haemolytic anaemia. It is being studied in cold agglutinin disease, a form of autoimmune haemolytic anaemia, and in the prevention and treatment of antibody-mediated rejection in transplant patients.

What does BIVV020 target?

BIVV020 targets the complement system, specifically the C1s protein, which is part of the classical complement pathway. By inhibiting C1s, BIVV020 aims to reduce complement-mediated destruction of red blood cells in cold agglutinin disease and antibody-mediated tissue damage in transplant rejection.

Who makes BIVV020?

BIVV020 is developed by Sanofi, a multinational pharmaceutical company listed on the stock exchange under the ticker SNY. The drug is also known as SAR445088.

What phase is BIVV020 in?

BIVV020 is in clinical development. A Phase 1 study in cold agglutinin disease has been completed, and a Phase 2 study in antibody-mediated rejection is active but not recruiting. BIVV020 is not yet approved and remains investigational.

What clinical trials is BIVV020 in?

BIVV020 has been studied in two clinical trials. NCT04269551 was a completed Phase 1 safety and tolerability study in adults with cold agglutinin disease. NCT05156710 is an active Phase 2 study of BIVV020 (SAR445088) in the prevention and treatment of antibody-mediated rejection.

Is BIVV020 the same as SAR445088?

Yes, BIVV020 is also known as SAR445088. Both names refer to the same investigational drug developed by Sanofi.