Recent Updates
Recently added Catalysts

Frexalimab

Phase 3

Multiple Sclerosis | Monoclonal antibody | Neurology |Sanofi|Trials Updated: Oct 19, 2026

Frexalimab development status

Highest phase Phase 3
Registered trials 8 across 1 sponsor since Oct 2020

Frexalimab target and mechanism

Target class-Mab (Antibody)
ModalityMonoclonal antibody

Also known as SAR441344 IV, SAR441344

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials9
Total Enrollment3,887

FDA Designations

No designations recorded

Frexalimab clinical trials

Frexalimab · 9 trials · 8 indications

Phase 3 3Phase 2 6
NCT07325292Non-inferiority Study of Frexalimab Subcutaneous Administration Compared to Intravenous Administration in Adult Participants With Multiple SclerosisMultiple Sclerosis
RECRUITING160 Analytics
NCT06141486Efficacy and Safety Study of Frexalimab (SAR441344) in Adults With Nonrelapsing Secondary Progressive Multiple SclerosisMultiple Sclerosis
ACTIVE NOT_RECRUITING943 Analytics
NCT06141473Efficacy and Safety Studies of Frexalimab (SAR441344) in Adults With Relapsing Forms of Multiple SclerosisMultiple Sclerosis
ACTIVE NOT_RECRUITING1,655 Analytics
PHASE3RECRUITING
Non-inferiority Study of Frexalimab Subcutaneous Administration Compared to Intravenous Administration in Adult Participants With Multiple Sclerosis
Multiple SclerosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Efficacy and Safety Study of Frexalimab (SAR441344) in Adults With Nonrelapsing Secondary Progressive Multiple Sclerosis
Multiple SclerosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Efficacy and Safety Studies of Frexalimab (SAR441344) in Adults With Relapsing Forms of Multiple Sclerosis
Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Area under the curve over the interval W20 to W24(part A)
Until Week 24

AUCW20-W24

Trough concentration at steady state(part A)
Until Week 24

Ctrough,SS

Time to onset of composite confirmed disability progression (cCDP) confirmed over 6 months in the double-blind treatment period
Up to 36 months

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

Annualized relapse rate (ARR) during the study period assessed by protocol defined adjudicated relapses
Until Week 156

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).

Composite efficacy failure rate (BPAR, graft loss, and death) by 1 year post kidney transplantation
by 1 year

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.

Percent reduction in urine protein to creatinine ratio (UPCR)
From baseline to Week 12
Change in mean 2h mixed meal tolerance test (MMTT) stimulated C-peptide concentration, calculated from AUC from baseline to W52 for Part B (12-21 y.o.)
Baseline to Week 52

mixed meal tolerance test (MMTT) stimulated C-peptide concentration is to be calculated from AUC

Change in mean 2h mixed meal tolerance test (MMTT) stimulated C-peptide concentration, calculated from AUC from baseline to W26 for Part C (6-11 y.o.)
Baseline to Week 26

mixed meal tolerance test (MMTT) stimulated C-peptide concentration is to be calculated from AUC

Percentage of participants who achieved a Systemic Lupus Erythematosus Responder Index (SRI-4) response at Week 24.
At Week 24

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.

Mean Number of New Gadolinium (Gd)-Enhancing T1--Hyperintense (GdE T1) Lesions at Week 12 Relative to Week 8 as Measured by Brain Magnetic Resonance Imaging (MRI)
Week 8 and Week 12

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.

Change From Baseline to Week 12 in ESSDAI Score
Baseline (Day 1) to Week 12

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.

Secondary Endpoints

Frexalimab plasma concentrations over time (part A for IV Arm Part A, B, C for SC arm)
Until Week 24 for IV arm, Until EOS for SC arm ( until Week 96)
Pharmacokinetic parameters: Cmax(part A)
Until Week 24
Pharmacokinetic parameters: Tmax(part A)
Until Week 24
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Frexalimab SCEXPERIMENTALFrexalimab 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 IVEXPERIMENTALFrexalimab IV
FrexalimabEXPERIMENTALFrexalimab IV administration
PlaceboPLACEBO_COMPARATORMatching placebo
TeriflunomideACTIVE_COMPARATORParticipants will receive teriflunomide tablet and placebo infusion.
TacrolimusACTIVE_COMPARATORTacrolimus
BrivekimigEXPERIMENTALBrivekimig active dose
RilzabrutinibEXPERIMENTALRilzabrutinib active dose
Frexalimab Dose 1EXPERIMENTAL -
Frexalimab Dose 2EXPERIMENTAL -
Frexalimab Dose 3EXPERIMENTAL -
Intravenous (IV) SAR441344EXPERIMENTALSAR441344 IV
IV PlaceboPLACEBO_COMPARATORPlacebo IV
Subcutaneous (SC) SAR441344EXPERIMENTALSAR441344 SC
SC PlaceboPLACEBO_COMPARATORPlacebo SC
SAR441344EXPERIMENTALSAR441344 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)

Interventions

NameTypeDescription
FrexalimabDRUGPharmaceutical form:Solution for injection-Route of administration:SC injection
MRI contrast-enhancing preparationsDRUGRoute of administration:IV injection
PlaceboDRUGSolution for IV infusion
MRI contrast-enhancing agentsDRUGIV, as per respective label
TeriflunomideDRUGAubagio oral tablet
Placebo infusionDRUGSolution for IV infusion
Placebo tabletDRUGOral tablet
CholestyramineDRUGoral, 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 charcoalDRUGoral, 50 g every 12 hours for 11 days for accelerated elimination procedure. The teriflunomide local label should be followed.
TacrolimusDRUGPharmaceutical form:Capsule-Route of administration:Oral
rabbit anti-thymocyte globulinDRUGPharmaceutical form:Solution for injection-Route of administration:IV
mycophenolate mofetilDRUGPharmaceutical form:Tablet or capsule-Route of administration:Oral
mycophenolate sodiumDRUGPharmaceutical form:Tablet-Route of administration:Oral
methylprednisoloneDRUGPharmaceutical form:Solution for injection-Route of administration:IV
prednisoneDRUGPharmaceutical form:Tablet-Route of administration:Oral
brivekimigDRUGbrivekimig treatment
rilzabrutinibDRUGrilzabrutinib treatment
InsulinDRUGSC injection, dose and frequency will be established and/or adjusted by investigator
SAR441344 IVDRUGPharmaceutical form: solution Route of administration: Intravenous infusion
SAR441344 SCDRUGPharmaceutical form: solution Route of administration: subcutaneous injection
Placebo IVDRUGPharmaceutical form: solution Route of administration: Intravenous infusion
Placebo SCDRUGPharmaceutical form: solution Route of administration: subcutaneous injection
SAR441344DRUGPharmaceutical form: solution for injection Route of administration: intravenous or subcutaneous
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites68

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...

Countries:United StatesBelgiumBrazilChinaItalyJapanSpainArgentinaAustraliaBulgariaCanadaChileCzechiaFranceGermanyGreeceHungaryIndiaNetherlandsPolandPortugalSaudi ArabiaSouth KoreaSwedenTurkey (Türkiye)UkraineUnited KingdomAustriaCroatiaDenmarkHong KongIsraelLithuaniaMalaysiaMexicoPuerto RicoRomaniaSingaporeSlovakiaSouth AfricaSwitzerlandTaiwanThailandUnited Arab EmiratesFinlandSloveniaGeorgiaMauritiusRussia
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWOct 19, 2026NCT06500702lastUpdatePostDate: changed
LOWOct 19, 2026NCT06500702lastUpdatePostDate: changed
LOWOct 19, 2026NCT06500702lastUpdatePostDate: changed
LOWOct 13, 2026NCT07325292lastUpdatePostDate: changed
LOWOct 13, 2026NCT07412470lastUpdatePostDate: changed
LOWOct 13, 2026NCT07325292lastUpdatePostDate: changed
LOWOct 13, 2026NCT07412470lastUpdatePostDate: changed
LOWSep 28, 2026NCT04879628lastUpdatePostDate: changed
LOWSep 28, 2026NCT04879628lastUpdatePostDate: changed
LOWSep 23, 2026NCT06500702lastUpdatePostDate: changed
LOWSep 23, 2026NCT06500702lastUpdatePostDate: changed
LOWSep 22, 2026NCT05039840primaryCompletionDate: changed
LOWSep 22, 2026NCT05039840primaryCompletionDate: changed
LOWSep 21, 2026NCT07412470lastUpdatePostDate: changed
LOWSep 21, 2026NCT07412470lastUpdatePostDate: changed
LOWSep 16, 2026NCT07325292lastUpdatePostDate: changed
LOWSep 16, 2026NCT07325292lastUpdatePostDate: changed
LOWSep 16, 2026NCT07325292lastUpdatePostDate: changed
LOWSep 16, 2026NCT07325292lastUpdatePostDate: changed
LOWAug 14, 2026NCT07325292lastUpdatePostDate: changed

Frequently asked questions about Frexalimab

What is frexalimab?

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.

What is frexalimab used for?

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.

Who makes frexalimab?

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.

What phase is frexalimab in?

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.

What clinical trials is frexalimab in?

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.

Is frexalimab the same as SAR441344?

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.