Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as SAR441344 IV, SAR441344
Frexalimab · 9 trials · 8 indications
AUCW20-W24
Ctrough,SS
Defined as Increase from the baseline expanded disability status scale (EDSS) score of ≥1.0 point when the baseline is \<5.5, or ≥0.5 point when the baseline is ≥5.5, OR Increase of ≥20% from the baseline time in the 9 hole peg test (9HPT),OR Increase of ≥20% from the baseline time in the timed 25 foot walk (T25FW) test
ARR during the study period assessed by protocol-defined adjudicated relapses. This endpoint will be analyzed in the ITT population of each study using a negative binomial model with the total number of adjudicated relapses per participant occurring during the observation period as the response variable and with terms for treatment group, Gd-enhancing T1 lesions at baseline (presence, absence), EDSS strata (\<4, ≥4), and geographical region (US, non-US).
BPAR is defined as biopsy confirmed T cell mediated and antibody mediated rejection as categorized by BANFF 2022; graft loss is defined as the first date the patients meet any of the following criteria: chronic dialysis for a least 56 days, day of allograft nephrectomy, or day of re-transplant.
mixed meal tolerance test (MMTT) stimulated C-peptide concentration is to be calculated from AUC
mixed meal tolerance test (MMTT) stimulated C-peptide concentration is to be calculated from AUC
A composite endpoint, with SRI-4 response requiring a ≥ 4-point improvement (reduction) from baseline in Hybrid Safety of Estrogens in Lupus Erythematosus National Assessment - Systemic Lupus Erythematosus Disease Activity Index (hSELENA-SLEDAI), no new British Isles Lupus Assessment Group (BILAG-2004) A organ domain scores, or ≥ 2 new BILAG-2004 B organ domain scores compared with baseline, no worsening from baseline in lupus disease activity, and no permanent discontinuation of study drug or use of new or increased medication for SLE other than defined per protocol.
Cranial (brain) MRI was performed to identify number of new GdE T1-hyperintense lesions at Week 12 relative to Week 8 MRI. Central review was used to identify new GdE T1 lesions not present at the previous MRI scans.
ESSDAI is validated and established outcome measurement for therapeutic efficacy in Sjögren's syndrome, evaluating disease activity mainly on extra-glandular manifestations. This score consists of 12 organ-specific domains (constitutional, lymphadenopathy, glandular, articular, cutaneous, pulmonary, renal, muscular, peripheral and central nervous system, hematological, biological), which are scored based on organ-specific items in 3 to 4 different severity grades (no, low, moderate, high; with 0=no and 3=high). These scores are summed up over all 12 domains in weighted way (severity grades are multiplied with weights ranging 1-6 depending on domain) to summarize into total score(0-123). Higher scores indicates worse outcome. Negative change from baseline indicates improvement. Baseline=Day 1 assessment value. Least squares (LS) mean is calculated using mixed models for repeated measures (MMRM). Observed values after occurrence of intercurrent events are excluded.
| Arm | Type | Description |
|---|---|---|
| Frexalimab SC | EXPERIMENTAL | Frexalimab SC (home self-administration via on-body delivery system(OBDS), is allowed from the beginning of Part B after appropriate training and participant and Investigator agreement) |
| Frexalimab IV | EXPERIMENTAL | Frexalimab IV |
| Frexalimab | EXPERIMENTAL | Frexalimab IV administration |
| Placebo | PLACEBO_COMPARATOR | Matching placebo |
| Teriflunomide | ACTIVE_COMPARATOR | Participants will receive teriflunomide tablet and placebo infusion. |
| Tacrolimus | ACTIVE_COMPARATOR | Tacrolimus |
| Brivekimig | EXPERIMENTAL | Brivekimig active dose |
| Rilzabrutinib | EXPERIMENTAL | Rilzabrutinib active dose |
| Frexalimab Dose 1 | EXPERIMENTAL | - |
| Frexalimab Dose 2 | EXPERIMENTAL | - |
| Frexalimab Dose 3 | EXPERIMENTAL | - |
| Intravenous (IV) SAR441344 | EXPERIMENTAL | SAR441344 IV |
| IV Placebo | PLACEBO_COMPARATOR | Placebo IV |
| Subcutaneous (SC) SAR441344 | EXPERIMENTAL | SAR441344 SC |
| SC Placebo | PLACEBO_COMPARATOR | Placebo SC |
| SAR441344 | EXPERIMENTAL | SAR441344 single intravenous (IV) loading dose on Day 1 followed by a single subcutaneous (SC) dose administered once every 2 weeks from Week 2 to Week 10 (5 administrations) |
| Name | Type | Description |
|---|---|---|
| Frexalimab | DRUG | Pharmaceutical form:Solution for injection-Route of administration:SC injection |
| MRI contrast-enhancing preparations | DRUG | Route of administration:IV injection |
| Placebo | DRUG | Solution for IV infusion |
| MRI contrast-enhancing agents | DRUG | IV, as per respective label |
| Teriflunomide | DRUG | Aubagio oral tablet |
| Placebo infusion | DRUG | Solution for IV infusion |
| Placebo tablet | DRUG | Oral tablet |
| Cholestyramine | DRUG | oral, 8 g 3 times daily for 11 days for accelerated elimination procedure (4 g 3 times daily for 11 days in case of intolerance). The teriflunomide local label should be followed. |
| Activated charcoal | DRUG | oral, 50 g every 12 hours for 11 days for accelerated elimination procedure. The teriflunomide local label should be followed. |
| Tacrolimus | DRUG | Pharmaceutical form:Capsule-Route of administration:Oral |
| rabbit anti-thymocyte globulin | DRUG | Pharmaceutical form:Solution for injection-Route of administration:IV |
| mycophenolate mofetil | DRUG | Pharmaceutical form:Tablet or capsule-Route of administration:Oral |
| mycophenolate sodium | DRUG | Pharmaceutical form:Tablet-Route of administration:Oral |
| methylprednisolone | DRUG | Pharmaceutical form:Solution for injection-Route of administration:IV |
| prednisone | DRUG | Pharmaceutical form:Tablet-Route of administration:Oral |
| brivekimig | DRUG | brivekimig treatment |
| rilzabrutinib | DRUG | rilzabrutinib treatment |
| Insulin | DRUG | SC injection, dose and frequency will be established and/or adjusted by investigator |
| SAR441344 IV | DRUG | Pharmaceutical form: solution Route of administration: Intravenous infusion |
| SAR441344 SC | DRUG | Pharmaceutical form: solution Route of administration: subcutaneous injection |
| Placebo IV | DRUG | Pharmaceutical form: solution Route of administration: Intravenous infusion |
| Placebo SC | DRUG | Pharmaceutical form: solution Route of administration: subcutaneous injection |
| SAR441344 | DRUG | Pharmaceutical form: solution for injection Route of administration: intravenous or subcutaneous |
Inclusion Criteria: The participant must qualify for inclusion per either Group A or B criteria as detailed below, meeting all the inclusion criteria of the applicable group: Group A (RMS) * The participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent. * T...
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Frexalimab is an investigational monoclonal antibody developed by Sanofi. It is being studied in several immune-mediated and inflammatory conditions, including multiple sclerosis, focal segmental glomerulosclerosis, kidney transplant rejection, Sjögren's syndrome, systemic lupus erythematosus, and type 1 diabetes mellitus. It is not yet approved and remains in clinical development.
Frexalimab is being evaluated for multiple sclerosis, including nonrelapsing secondary progressive MS, as well as focal segmental glomerulosclerosis, kidney transplant rejection, Sjögren's syndrome, systemic lupus erythematosus, and type 1 diabetes mellitus. These are investigational uses, and the drug has not been approved for any indication.
Frexalimab is developed by Sanofi, which trades under the ticker SNY. Sanofi is running the clinical program across nephrology, neurology, and immunology indications, including a Phase 3 study in nonrelapsing secondary progressive multiple sclerosis and a Phase 2 kidney transplant study.
Frexalimab is in Phase 2 and Phase 3 clinical development. It is investigational and has not been approved by the FDA or any other regulator. The program includes four trials, with three actively recruiting and one active but no longer recruiting, enrolling about 2,887 participants in total.
Frexalimab trials include NCT06141486, a Phase 3 study in nonrelapsing secondary progressive multiple sclerosis; NCT07325292, a Phase 3 subcutaneous versus intravenous study in multiple sclerosis; NCT07412470, a Phase 2 kidney transplant study versus tacrolimus; and NCT06500702, a Phase 2 study in focal segmental glomerulosclerosis and minimal change disease.
Yes. Frexalimab is also known as SAR441344, and the intravenous form has been referred to as SAR441344 IV. SAR441344 is Sanofi's internal compound designation for the same monoclonal antibody, so searches for either name refer to the same investigational drug.