Recent Updates
Recently added Catalysts

SAR441344

Phase 2

Multiple Sclerosis | Small molecule | Neurology |Sanofi|Last Updated: Aug 6, 2026

Target and mechanism

Molecular targetCD40L
Target classProtein
ModalitySmall molecule

Also known as SAR441344 IV

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment129

FDA Designations

No designations recorded

Clinical trial landscape

SAR441344 · 4 trials · 5 indications

Phase 2 3Phase 1 1
NCT05039840Efficacy and Safety of Frexalimab (SAR441344) in the Treatment of Systemic Lupus ErythematosusSystemic Lupus Erythematosus
ACTIVE NOT_RECRUITING109 Analytics
NCT04879628Proof-of-concept Study for SAR441344 (Frexalimab) in Relapsing Multiple SclerosisMultiple Sclerosis
ACTIVE NOT_RECRUITING129 Analytics
NCT04572841Safety, Tolerability, Pharmacokinetics, and Therapeutic Efficacy of SAR441344 in Primary Sjögren's Syndrome (pSjS)Sjögren's Syndrome
COMPLETED84 Analytics
PHASE2ACTIVE NOT_RECRUITING
Efficacy and Safety of Frexalimab (SAR441344) in the Treatment of Systemic Lupus Erythematosus
Systemic Lupus ErythematosusUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Proof-of-concept Study for SAR441344 (Frexalimab) in Relapsing Multiple Sclerosis
Multiple SclerosisUnlock trial analytics
PHASE2COMPLETED
Safety, Tolerability, Pharmacokinetics, and Therapeutic Efficacy of SAR441344 in Primary Sjögren's Syndrome (pSjS)
Sjögren's SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

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.

Part 1: Number of participants with adverse event(AE)
From baseline to day 127

Number of participants with AE from baseline to day 127

Part 2: Number of participants with adverse event (AE)
From baseline to day 155

Number of participants with AE from baseline to day 155

Secondary Endpoints

Percentage of participants who achieved an SRI-4 response in prespecified biomarker (BM) subgroups at Week 24
At Week 24
Percentage of participants who achieved a BILAG-based Composite Lupus Assessment (BICLA) response in prespecified BM subgroups at Week 24
At Week 24
Percentage of participants who achieved a BICLA response at Week 24
At Week 24
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FrexalimabEXPERIMENTALFrexalimab intravenous (IV) loading dose followed by subcutaneous (SC) doses, 24 weeks
PlaceboPLACEBO_COMPARATORPlacebo IV loading dose followed by SC, 24 weeks
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
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
MRI contrast-enhancing preparationsDRUGgadolinium compound, including but not limited to Magnevist, Multihance, Prohance, or Elucirem
SAR441344DRUGPharmaceutical form: solution for injection Route of administration: intravenous or subcutaneous
PlaceboDRUGPharmaceutical form: solution for injection Route of administration: intravenous or subcutaneous
Keyhole limpet hemocyaninBIOLOGICALSubcutaneous Lyophilized powder for reconstitution
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites73

Inclusion Criteria: * Diagnosis of SLE for at least 6 months prior to screening by fulfilling the Revised Criteria for Classification of SLE according to the 1997 Update of the 1982 ACR criteria * Positive antinuclear antibody (ANA) (titer ≥1:80) during screening * Positivity for at least one serol...

Countries:United StatesArgentinaBrazilChileGeorgiaGreeceHungaryItalyMauritiusMexicoPuerto RicoRussiaSpainSwitzerlandTurkey (Türkiye)UkraineBulgariaCanadaCzechiaFranceGermanyBelgiumSouth KoreaTaiwan
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

LOWAug 6, 2026NCT05039840primaryCompletionDate: changed
LOWAug 6, 2026NCT05039840primaryCompletionDate: changed

Frequently asked questions about SAR441344

What is SAR441344 used for?

SAR441344 is an investigational small molecule being studied for multiple sclerosis, systemic lupus erythematosus, Sjögren's syndrome, and in healthy volunteers. It is being developed by Sanofi and is currently in clinical trials, though it is not yet approved by the FDA.

What does SAR441344 target?

SAR441344 targets CD40L, a protein involved in immune system regulation. By targeting CD40L, the drug aims to modulate immune responses that contribute to autoimmune diseases such as multiple sclerosis, systemic lupus erythematosus, and Sjögren's syndrome.

Who makes SAR441344?

SAR441344 is developed by Sanofi, a multinational pharmaceutical company listed on the stock exchange under the ticker SNY. Sanofi is conducting clinical trials to evaluate the safety and efficacy of this investigational drug in various autoimmune conditions.

What phase is SAR441344 in?

SAR441344 is in Phase 1 and Phase 2 clinical trials. Phase 1 studies have been completed in healthy volunteers, while Phase 2 trials are ongoing or completed for multiple sclerosis, systemic lupus erythematosus, and Sjögren's syndrome. The drug remains investigational and is not yet approved.

What clinical trials is SAR441344 in?

SAR441344 has been studied in several clinical trials, including NCT04572841 for Sjögren's syndrome, NCT04879628 for relapsing multiple sclerosis, NCT05039840 for systemic lupus erythematosus, and NCT05845996 in healthy volunteers. These trials assess safety, tolerability, pharmacokinetics, and efficacy.

Is SAR441344 the same as frexalimab?

Yes, SAR441344 is also known as frexalimab. Clinical trial titles refer to SAR441344 as frexalimab, such as in the proof-of-concept study for relapsing multiple sclerosis. Both names refer to the same investigational drug being developed by Sanofi.