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SAR441566

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Sanofi|Last Updated: Sep 18, 2025

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 Enrollment334
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06073093A Study to Evaluate SAR441566 Efficacy and Safety in Adults With Rheumatoid ArthritisPHASE2 COMPLETED 264Nov 7, 2023Jul 2, 2025Jul 11, 2025102 United States, Argentina +17
NCT05844735A Randomized Placebo- and Active Comparator-controlled Study to Evaluate the Photosafety of SAR441566PHASE1 COMPLETED 60May 22, 2023Oct 23, 2023Sep 16, 20251 United States
NCT05858788A Single Ascending Dose Study to Characterize the Pharmacokinetics, Safety, and Tolerability of SAR441566 in Healthy Adult Japanese Male Participants.PHASE1 COMPLETED 10May 15, 2023Jul 17, 2023Sep 18, 20251 United States
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Study Endpoints
Primary Endpoints
Proportion of participants achieving at least 20% improvement from baseline in the American College of Rheumatology (ACR) score at week 12
Baseline to Week 12

ACR20 response criteria is a dichotomous composite endpoint indicating the proportion of participants with at least 20 percent improvement in the number of tender and swollen joints, and in three out of the remaining five ACR core-set measures: patient pain (VAS, No pain to Severe Pain), Patient Global Assessment of disease activity (VAS, Very well to Very Poor), physician global assessment of disease activity (VAS, Very good to Very bad), physical functioning assessment (Health Assessment Questionnaire-Disability Index \[HAQ-DI\]), and acute phase reactants (ESR or CRP mg/dl; in this study CRP will be used). ACR response is scored as a percentage improvement, comparing disease activity at two discrete time points. ACR20 is ≥ 20% improvement.

Treatment part I: Photosensitivity Index (PI) at 10 minutes post UV irradiation under Condition 1
On-drug Day 8

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -2 at 10 minutes post-irradiation to the corresponding MEDon-drug measured on Day 8 at 10 minutes post-irradiation. Condition 1 is Full range solar ultraviolet B/ultraviolet A (UVB/UVA) \[290 to 400 nm\] exposure.

Treatment part I: Photosensitivity Index (PI) at 1 hour post UV irradiation under Condition 1
On-drug Day 8

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -2 at 1 hour post-irradiation to the corresponding MEDon-drug measured on Day 8 at 1 hour post-irradiation. Condition 1 is full range solar UVB/UVA \[290 to 400 nm\] exposure.

Treatment part I: Photosensitivity Index (PI) at 24 hours post UV irradiation under Condition 1
On-drug Day 9

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -1 at 24 hours post-irradiation to the corresponding MEDon-drug measured on Day 9 at 24 hours post-irradiation. Condition 1 is a Full range solar UVB/UVA \[290 to 400 nm\] exposure.

Treatment part I: Photosensitivity Index (PI) at 10 minutes post UV irradiation under Condition 2
On-drug Day 8

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -2 at 10 minutes post-irradiation to the corresponding MEDon-drug measured on Day 8 at 10 minutes post-irradiation. Condition 2 is a UVA only \[320 to 400 nm\] exposure.

Treatment part I: Photosensitivity Index (PI) at 1 hour post UV irradiation under Condition 2
On-drug Day 8

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -2 at 1 hour post-irradiation to the corresponding MEDon-drug measured on Day 8 at 1 hour post-irradiation. Condition 2 is a UVA only \[320 to 400 nm\] exposure.

Treatment part I: Photosensitivity Index (PI) at 24 hours post UV irradiation under Condition 2
On-drug Day 9

The PI is calculated as the ratio of the minimal erythema dose (MEDbaseline) measured on Day -1 at 24 hours post-irradiation to the corresponding MEDon-drug measured on Day 9 at 24 hours post-irradiation. Condition 2 is a UVA only \[320 to 400 nm\] exposure.

Assessment of plasma pharmacokinetic (PK) parameters for SAR441566: Cmax
From Day 1 to Day 5 of each period (5 days per period)

Maximum plasma concentration observed

Assessment of plasma pharmacokinetic (PK) parameters for SAR441566: AUClast
From Day 1 to Day 5 of each period (5 days per period)

Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time Tlast (AUClast)

Assessment of plasma pharmacokinetic (PK) parameters for SAR441566: AUC
From Day 1 to Day 5 of each period (5 days per period)

Area under the plasma concentration versus time curve extrapolated to infinity (AUC)

Secondary Endpoints
Change from baseline in Disease activity score - C-reactive protein (DAS-28 CRP) at week 12
Baseline to Week 12
Proportion of participants achieving at least 50% improvement from baseline in the ACR score at week 12
Baseline to week 12
Number of participants with Treatment-Emergent Adverse Events (TEAEs), serious AEs (SAEs), and AEs of special interest (AESIs)
Baseline to week 14
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SAR441566 dose regimen AEXPERIMENTALParticipant will receive dose regimen A of SAR441566 for 12 weeks
SAR441566 dose regimen BEXPERIMENTALParticipant will receive dose regimen B of SAR441566 for 12 weeks
SAR441566 dose regimen CEXPERIMENTALParticipant will receive dose regimen C of SAR441566 for 12 weeks
SAR441566 dose regimen DEXPERIMENTALParticipant will receive dose regimen D of SAR441566 for 12 weeks
PlaceboPLACEBO_COMPARATORParticipant will receive SAR441566-matching placebo for 12 weeks
Part I SAR441566 Dose AEXPERIMENTALParticipants will receive repeated low dose of SAR441566 for 7.5 days
Part I SAR441566 Dose BEXPERIMENTALParticipants will receive repeated high dose of SAR441566 for 7.5 days
Part I PlaceboPLACEBO_COMPARATORParticipants will receive repeated SAR441566 matching placebo tablets for 7.5 days
Part II CiprofloxacinACTIVE_COMPARATORParticipants will receive repeated ciprofloxacin 500 mg twice-daily (BID) for 5.5 days
SAR441566EXPERIMENTALParticipants will receive single ascending doses of SAR441566 on day 1 of each 8-12-day cycle
Interventions
NameTypeDescription
SAR441566DRUGTablet
PlaceboDRUGTablet
CiprofloxacinDRUGTablet
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites102

Inclusion Criteria: * Diagnosis of adult-onset RA classified by ACR/EULAR 2010 revised classification criteria for RA of at least 3 months duration, with the onset of signs and symptoms of RA of at least 6 months duration * Moderate-to-severely active RA, defined as: * persistently active diseas...

Countries:United StatesArgentinaBrazilCanadaChileChinaCzechiaGeorgiaGermanyGreeceIndiaJapanMauritiusMexicoPolandPuerto RicoSlovakiaSouth AfricaSpain
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