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Duvakitug

Phase 3

Crohn Disease | Small molecule | Gastrointestinal |Sanofi|Trials Updated: Oct 21, 2026

Duvakitug development status

Highest phase Phase 3
Registered trials 6 across 2 sponsors since Dec 2022

Duvakitug target and mechanism

ModalitySmall molecule

Also known as TEV-48574 Dose Regiment B, SAR447189

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials6
Total Enrollment3,865

FDA Designations

No designations recorded

Duvakitug clinical trials

Duvakitug · 6 trials · 5 indications

Phase 3 4Phase 2 2
NCT07184944A Maintenance Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's DiseaseCrohn's Disease
RECRUITING751 Analytics
NCT07185009A Maintenance Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
RECRUITING751 Analytics
NCT07184996An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Ulcerative ColitisUlcerative Colitis
RECRUITING980 Analytics
NCT07184931An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's DiseaseCrohn's Disease
RECRUITING980 Analytics
PHASE3RECRUITING
A Maintenance Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's Disease
Crohn's DiseaseUnlock trial analytics
PHASE3RECRUITING
A Maintenance Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3RECRUITING
An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3RECRUITING
An Induction Study to Investigate the Efficacy and Safety of Duvakitug in Participants With Moderately to Severely Active Crohn's Disease
Crohn's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Co-primary endpoints US/FDA: Pivotal Maintenance Sub-Study Cohort 1 Proportion of participants achieving clinical remission (CDAI) at Week 40
Week 40

Clinical Remission by Crohn's Disease Activity Index (CDAI): CDAI score \<150. The CDAI is a measure of disease activity based on symptoms, signs, and a laboratory test. Scores on the CDAI scale range from 0 to 600, with scores below 150 indicating relative disease quiescence (remission), 150 to 219 indicating mild disease activity, 220 to 450 indicating moderate activity, and scores exceeding 450 indicating severe disease.

Proportion of participants achieving Endoscopic Response (SES-CD) at Week 40
Week 40

The SES-CD is a standardized method for evaluating disease activity. Score ranges from 0 to 56, where higher scores represent more severe disease. Endoscopic Response by SES-CD is a decrease in SES-CD ≥50% from Baseline (or a decrease of at least 2 points for participants with a Baseline score of 4 or more, and isolated ileal disease) based on central reading.

Co-primary endpoints EU/EMA: Pivotal Maintenance Sub-Study Cohort 1 Proportion of participants achieving clinical remission per PRO-2 at Week 40
Week 40

Clinical Remission 2-item patient-reported outcome (PRO-2): average daily stool frequency (SF) ≤3 and not worse than the Baseline, and average daily abdominal pain (AP) ≤1 and not worse than the Baseline.

Pivotal Maintenance Sub-Study Cohort 1: Proportion of participants achieving clinical remission by modified Mayo Score (mMS).
Week 40

Mayo Score is a composite index designed to measure UC disease activity. The score ranges from 0 to 9 with higher scores indicating greater disease severity. Clinical remission is defined as mMS score of 0 to 2, including SFS of 0 or 1, RBS of 0, and mMES of 0 or 1 (score of 1 modified to exclude friability)

Proportion of participants achieving clinical remission.
Week 12

Clinical remission is defined as modified Mayo Score (mMS) score of 0 to 2, including SFS of 0 or 1, RBS of 0, and modified Mayo Endoscopic Score (MES) of 0 or 1 (score of 1 modified to exclude friability). mMS is a composite index designed to measure UC disease activity. The score ranges from 0 to 9 with higher scores indicating greater disease severity.

Sub-Study 2: Co-primary endpoints US/FDA: Proportion of participants achieving clinical remission per Crohn's Disease Activity Index (CDAI) at Week 12
Week 12

Clinical Remission by CDAI: CDAI score \<150. The CDAI is a measure of disease activity based on symptoms, signs, and a laboratory test. Scores on the CDAI scale range from 0 to 600, with scores below 150 indicating relative disease quiescence (remission), 150 to 219 indicating mild disease activity, 220 to 450 indicating moderate activity, and scores exceeding 450 indicating severe disease.

Sub-Study 2: Co-primary endpoints US/FDA: Proportion of participants achieving endoscopic response (Simple Endoscopic Score for Crohn&#x0027;s Disease [SES-CD]) at Week 12
Week 12

Endoscopic Response is defined as decrease in SES-CD ≥50% from baseline (or a decrease of at least 2 points for participants with a baseline score of 4 or more, and isolated ileal disease) based on central reading. The SES-CD is a standardized method for evaluating disease activity. The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores represent more severe disease.

Sub-Study 2: Co-primary endpoints EU/EMA: Proportion of participants achieving clinical remission per 2-item patient-reported outcome (PRO-2) at Week 12
Week 12

Clinical Remission per PRO-2: average daily stool frequency (SF) ≤3 and not worse than the Baseline, and average daily abdominal pain (AP) ≤1 and not worse than the Baseline.

Sub-Study 2: Co-primary endpoints EU/EMA: Proportion of participants achieving endoscopic response (SES-CD) at Week 12
Week 12

Endoscopic Response is defined as decrease in SES-CD ≥50% from baseline (or a decrease of at least 2 points for participants with a baseline score of 4 or more, and isolated ileal disease) based on central reading. The SES-CD is a standardized method for evaluating disease activity. The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores represent more severe disease.

Percentage of participants achieving Hidradenitis Suppurativa Clinical Response 75 (HiSCR75)
At Week 16

Hidradenitis Suppurativa Clinical Response 75 (HiSCR75) is defined as ≥75% reduction from baseline in the total abscess and inflammatory nodule \[AN\] count, with no increase from Baseline in abscess or draining tunnel count.

Number of participants with moderate to severe ulcerative colitis (UC) who show clinical remission as defined by the Mayo score
Week 44

Clinical remission based on modified (9-point rectal bleeding, stool frequency, and endoscopy) Mayo score of ≤2 points, which is defined by: * stool frequency subscore of 0 or 1, * rectal bleeding subscore of 0, and * endoscopic subscore of 0 or 1, where a score of 1 does not include "friability"

Number of participants with moderate to severe Crohn's disease (CD) who show an endoscopic response as defined by the Endoscopic Score for Crohn's Disease
Week 44

Endoscopic response, defined as a decrease in Simple Endoscopic Score for Crohn's Disease (SES-CD) of at least 50% from DRF study baseline at week 44 in participants with CD

Secondary Endpoints

Pivotal Maintenance Sub-Study Cohort 1: Proportion of participants achieving CDAI clinical response Week 40
Week 40
Pivotal Maintenance Sub-Study Cohort 1: Proportion of participants achieving SES-CD endoscopic remission at Week 40
Week 40
US/FDA Pivotal Maintenance Sub-Study Cohort 1: Proportion of participants achieving CDAI clinical remission and endoscopic remission at Week 40
Week 40
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Duvakitug dose 1EXPERIMENTALSubcutaneous (SC) injection as per protocol
Du vakitug dose 2EXPERIMENTALSC injection as per protocol
Du vakitug dose 3EXPERIMENTALSC injection as per protocol
PlaceboPLACEBO_COMPARATORSC injection as per protocol
Duvakitug - dose 1EXPERIMENTALSubcutaneous (SC) injection as per protocol
Duvakitug - dose 2EXPERIMENTALSC injection as per protocol
Duvakitug - dose 3EXPERIMENTALSC injection as per protocol
Duvakitug Dose 2EXPERIMENTALSC injection as per protocol
Duvakitug Dose Regimen AEXPERIMENTALParticipants will receive Duvakitug dose regimen A as per protocol
Duvakitug Dose Regimen BEXPERIMENTALParticipants will receive Duvakitug dose regimen B as per protocol
TEV-48574 Dose Regimen A for Ulcerative Colitis (UC)EXPERIMENTALAdministered by subcutaneous infusion for participants with UC
TEV-48574 Dose Regimen A for Crohn's Disease (CD)EXPERIMENTALAdministered by subcutaneous infusion for participants with CD
TEV-48574 Dose Regimen B for Ulcerative Colitis (UC)EXPERIMENTALAdministered by subcutaneous infusion for participants with UC
TEV-48574 Dose Regimen B for Crohn's Disease (CD)EXPERIMENTALAdministered by subcutaneous infusion for participants with CD

Interventions

NameTypeDescription
DuvakitugDRUGPharmaceutical form:Injection solution-Route of administration:SC injection
PlaceboDRUGPharmaceutical form:Injection solution-Route of administration:SC injection
TEV-48574 Dose Regimen ADRUGSubcutaneous (sc) administration using a commercial sc infusion system
TEV-48574 Dose Regiment BDRUGSubcutaneous (sc) administration using a commercial sc infusion system
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Eligibility Criteria

Age Range16 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites109

Inclusion Criteria: * Participants aged ≥18 and ≤80 years of age at Baseline. (Where locally permissible, participants 16 to \<18 years of age who meet the definition of Tanner stage 5 for development) * Pivotal Maintenance Sub-Study: Participants who achieved clinical response and completed endosc...

Countries:United StatesAustraliaAustriaBelgiumBrazilBulgariaCanadaChileChinaCzechiaGeorgiaGermanyIsraelItalyJapanLithuaniaMoldovaNetherlandsNew ZealandPolandSerbiaSlovakiaSouth AfricaSouth KoreaSwitzerlandTaiwanUkraineArgentinaFranceGreeceHungarySpainUnited KingdomPuerto RicoColombiaMexicoNorway
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Recent Changes (Last 90 Days)

LOWOct 21, 2026NCT07184931lastUpdatePostDate: changed
LOWOct 21, 2026NCT07184944lastUpdatePostDate: changed
LOWOct 21, 2026NCT07184931lastUpdatePostDate: changed
LOWOct 21, 2026NCT07184944lastUpdatePostDate: changed
LOWOct 21, 2026NCT07184931lastUpdatePostDate: changed
LOWOct 21, 2026NCT07184944lastUpdatePostDate: changed
LOWOct 16, 2026NCT07185009lastUpdatePostDate: changed
LOWOct 16, 2026NCT07185009lastUpdatePostDate: changed
LOWOct 14, 2026NCT07812116lastUpdatePostDate: changed
LOWOct 14, 2026NCT07812116lastUpdatePostDate: changed
LOWOct 6, 2026NCT05668013Completion: 2031-03-08 → 2027-01-31
LOWOct 6, 2026NCT05668013Completion: 2031-03-08 → 2027-01-31
LOWSep 23, 2026NCT07184944lastUpdatePostDate: changed
LOWSep 23, 2026NCT07184931lastUpdatePostDate: changed
LOWSep 23, 2026NCT05668013lastUpdatePostDate: changed
LOWSep 23, 2026NCT07184944lastUpdatePostDate: changed
LOWSep 23, 2026NCT07184931lastUpdatePostDate: changed
LOWSep 23, 2026NCT05668013lastUpdatePostDate: changed
LOWSep 16, 2026NCT07185009lastUpdatePostDate: changed
LOWSep 16, 2026NCT07185009lastUpdatePostDate: changed

Frequently asked questions about Duvakitug

What is Duvakitug?

Duvakitug is an investigational small molecule drug developed by Sanofi for inflammatory bowel disease and related inflammatory conditions. It is being studied in Crohn disease, ulcerative colitis, and hidradenitis. Development has advanced to Phase 3, and the program includes randomized, double-blind, controlled trials across these indications.

What is Duvakitug used for in ulcerative colitis?

Duvakitug is being studied for moderately to severely active ulcerative colitis in adults and adolescents. Two Phase 3 trials are recruiting: an induction study (NCT07184996) with planned enrollment of 980 participants and a maintenance study (NCT07185009) with planned enrollment of 751 participants. Neither study has reported results.

Who makes Duvakitug?

Sanofi (ticker SNY) develops Duvakitug. The company is running the Phase 3 ulcerative colitis and Crohn disease programs and a Phase 2 study in hidradenitis. The drug is also identified in study documentation as TEV-48574 Dose Regimen A and TEV-48574 Dose Regimen B.

What phase is Duvakitug in?

Duvakitug is in Phase 3 development. The ulcerative colitis induction and maintenance studies and the Crohn disease maintenance study are Phase 3 and currently recruiting. A Phase 2 study in hidradenitis is not yet recruiting. Duvakitug is investigational and has not been approved by the FDA.

What clinical trials is Duvakitug in?

Duvakitug is in three registered trials. NCT07184996 is a Phase 3 ulcerative colitis induction study enrolling 980 participants. NCT07185009 is a Phase 3 ulcerative colitis maintenance study enrolling 751. NCT07184944 is a Phase 3 Crohn disease maintenance study enrolling 751. NCT07812116 is a Phase 2 hidradenitis study enrolling 156.

Is Duvakitug the same as TEV-48574?

Yes. Duvakitug is also referred to as TEV-48574 Dose Regimen A and TEV-48574 Dose Regimen B in its clinical study documentation. These names describe the same investigational Sanofi compound being evaluated in Phase 3 ulcerative colitis and Crohn disease trials and in a Phase 2 hidradenitis study.