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Itepekimab SAR440340

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Other |Sanofi|Last Updated: Apr 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment2,415
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04751487Study to Assess the Efficacy, Safety, and Tolerability of SAR440340/REGN3500/Itepekimab in Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 1,239Feb 12, 2021Aug 28, 2025Apr 15, 2026297 United States, Argentina +28
NCT04701983Study to Assess the Efficacy, Safety, and Tolerability of SAR440340/REGN3500/Itepekimab in Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 1,127Dec 16, 2020Aug 27, 2025Apr 15, 2026248 United States, Argentina +19
NCT05326412Mechanistic Study of the Effect of Itepekimab on Airway Inflammation in Patients With COPDPHASE2 COMPLETED 49May 19, 2022Jul 25, 2025Mar 11, 202628 United States, Belgium +5
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Study Endpoints
Primary Endpoints
Annualized rate of moderate or severe acute exacerbation of COPD (AECOPD) in former smokers
Baseline up to End Of Treatment (EOT) (Week 52 for initial randomized participants, 24 to 52 weeks for potential additional randomized former smoker participants)

Annualized rate of moderate or severe acute exacerbation of COPD (AECOPD) over the placebo-controlled treatment period.

Annualized rate of moderate or severe acute exacerbation of COPD (AECOPD)
Baseline up to End Of Treatment (EOT) (Week 52 for initial randomized participants, Week 24 to 52 for potential additional randomized participants)

Annualized rate of moderate or severe AECOPD over the placebo-controlled treatment period

Change from baseline in itepekimab pharmacodynamic normalized enrichment score (NES) derived from former smokers in endobronchial biopsies in current smokers with COPD
Baseline to Week 12

As measured by RNA sequencing, in former and current smokers with COPD

Change from baseline in itepekimab pharmacodynamic NES derived from former smokers in bronchial brushings in current smokers with COPD
Baseline to Week 12

As measured by RNA sequencing, in former and current smokers with COPD

Change from baseline in itepekimab pharmacodynamic NES derived from former smokers in nasal brushings in current smokers with COPD
Baseline to Week 12

As measured by RNA sequencing, in former and current smokers with COPD

Secondary Endpoints
Change from baseline in pre-bronchodilator (BD) forced expiratory volume in 1 second (FEV1) in former smokers
Baseline to Week 24
Change from baseline in post-BD FEV1 in former smokers
Baseline to Week 24 and Week 52
Change from baseline in pre-BD FEV1 in former smokers
Baseline to Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Itepekimab Q2W in former smokersEXPERIMENTALSubcutaneous (SC) administration of Itepekimab every 2 weeks (Q2W) for up to 52 weeks
Itepekimab Q4W in former smokersEXPERIMENTALSC administration of Itepekimab every 4 weeks (Q4W) for up to 52 weeks, with alternating SC administration of matching placebo at the 2-week interval between active IMP
Placebo in former smokersPLACEBO_COMPARATORSC administration of matching placebo Q2W for up to 52 weeks
Itepekimab Q2W in current smokersEXPERIMENTALSC administration of Itepekimab every 2 weeks (Q2W) for 52 weeks
Placebo in current smokersPLACEBO_COMPARATORSC administration of matching placebo Q2W for 52 weeks
Itepekimab Q2WEXPERIMENTALSubcutaneous (SC) administration of Itepekimab every 2 weeks (Q2W) for up to 52 weeks
Itepekimab Q4WEXPERIMENTALSC administration of Itepekimab every 4 weeks (Q4W) for up to 52 weeks, with alternating SC administration of matching placebo at the 2-week interval between active IMP
PlaceboPLACEBO_COMPARATORSC administration of matching placebo Q2W for up to 52 weeks
ItepekimabEXPERIMENTALThis arm includes participants from 2 populations: Part A-former smokers and Part B-current smokers. Subcutaneous (SC) administration of Itepekimab every 2 weeks (Q2W) for 12 weeks
Interventions
NameTypeDescription
Itepekimab SAR440340DRUGPharmaceutical form: solution for injection in pre-filled syringe Route of administration: subcutaneous
PlaceboDRUGPharmaceutical form: solution for injection in pre-filled syringe Route of administration: subcutaneous
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Eligibility Criteria
Age Range40 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites297

Inclusion criteria : * Participant must be 40 to 85 years of age inclusive. * Physician diagnosis of COPD for at least 1 year (based on Global Initiative for Chronic Obstructive Lung Disease \[GOLD\] definition). * Smoking history of ≥10 pack-years: * For former smokers: participants who report ...

Countries:United StatesArgentinaBrazilBulgariaCanadaChileCzechiaDenmarkEstoniaFranceGeorgiaGermanyHungaryIndiaIsraelJapanLatviaLithuaniaMexicoNetherlandsNorwayPolandPortugalPuerto RicoRussiaSouth AfricaSouth KoreaSpainTurkey (Türkiye)United KingdomChinaGreeceItalyMauritiusRomaniaSlovakiaTaiwanUkraineBelgium
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Recent Changes (Last 90 Days)
MEDIUMMay 21, 2026NCT05326412TRIAL_REMOVED: changed
MEDIUMMay 21, 2026NCT05326412TRIAL_REMOVED: changed