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SAR442168

Phase 2

Relapsing Multiple Sclerosis | Small molecule | Neurology |Sanofi|Last Updated: Sep 23, 2025

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment130

FDA Designations

No designations recorded

Clinical trial landscape

SAR442168 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT03889639Dose-finding Study for SAR442168 in Relapsing Multiple SclerosisRelapsing Multiple Sclerosis
COMPLETED130 Analytics
PHASE2COMPLETED
Dose-finding Study for SAR442168 in Relapsing Multiple Sclerosis
Relapsing Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Brain Magnetic Resonance Imaging (MRI) Assessment: Number of New Gadolinium (Gd) Enhancing T1-hyperintense Lesions
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants) and at Week 4 for Cohort 2 placebo

Number of new Gd-enhancing T1-hyperintense lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants). Data was planned to be collected and analyzed on pooled population of participants at each dose level of SAR442168 (either in Cohort 1 and 2) and pooled population of participants receiving placebo in Cohort 2 and was not planned to collected during placebo administration in Cohort 1 (Weeks 12 to 16).

Percentage of radioactive dose excreted in urine and feces
Day 1 to Day 43

Fractional and cumulative percentage of radioactive dose excreted in urine and feces of \[14C\]-SAR442168

Secondary Endpoints

Number of New or Enlarging T2 Lesions
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants), and at Week 4 for Cohort 2 placebo
Total Number of Gd-enhancing T1-hyperintense Lesions
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants), and at Week 4 for Cohort 2 placebo
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs): Weeks 1-4 Period
From Baseline up to Week 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1: SAR442168 5 mg Then PlaceboEXPERIMENTALParticipants received SAR442168 5 milligrams (mg), orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 1: SAR442168 15 mg Then PlaceboEXPERIMENTALParticipants received SAR442168 15 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 1: SAR442168 30 mg Then PlaceboEXPERIMENTALParticipants received SAR442168 30 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 1: SAR442168 60 mg Then PlaceboEXPERIMENTALParticipants received SAR442168 60 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 2: Placebo Then SAR442168 5 mgEXPERIMENTALParticipants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 5 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 2: Placebo Then SAR442168 15 mgEXPERIMENTALParticipants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 15 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 2: Placebo Then SAR442168 30 mgEXPERIMENTALParticipants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 30 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Cohort 2: Placebo Then SAR442168 60 mgEXPERIMENTALParticipants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 60 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
SAR442168EXPERIMENTALSingle oral dose of SAR442168 (as a nonsalified compound) containing (NMT) 3.7 MBq of \[14C\]-SAR442168

Interventions

NameTypeDescription
SAR442168DRUGPharmaceutical form: Film coated tablet; Route of administration: Oral
PlaceboDRUGPharmaceutical form: Film coated tablet; Route of administration: Oral
Locally approved intravenous contrast medium for contrast enhanced magnetic resonance imaging (MRI)DRUGPharmaceutical form: Solution for injection; Route of administration: Intravenous
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites48

Inclusion criteria: * Participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent. * Participant was diagnosed with relapsing multiple sclerosis (RMS) according to the 2017 revision of the McDonald diagnostic criteria. * Participant must had at least 1 document...

Countries:United StatesCanadaCzechiaEstoniaFranceNetherlandsRussiaSlovakiaSpainUkraineUnited Kingdom
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Frequently asked questions about SAR442168

What is SAR442168 used for?

SAR442168 is an investigational small molecule being developed for the treatment of multiple sclerosis, including relapsing multiple sclerosis. It is currently in clinical development and has not been approved by regulatory authorities. The drug is being studied in patients with relapsing forms of the disease.

Who makes SAR442168?

SAR442168 is being developed by Sanofi, a global biopharmaceutical company traded on the NASDAQ under the ticker symbol SNY. Sanofi is conducting clinical trials to evaluate the safety, tolerability, and pharmacokinetics of SAR442168 in patients with multiple sclerosis and in healthy volunteers.

What phase is SAR442168 in?

SAR442168 is in Phase 1 clinical development. One Phase 1 study has been completed, and a separate dose-finding study listed as Phase 2 has also been completed. The drug remains investigational and has not received FDA approval for any indication.

What clinical trials is SAR442168 in?

SAR442168 has been studied in two completed clinical trials. NCT03889639 was a dose-finding study in 130 participants with relapsing multiple sclerosis, conducted across multiple countries including the United States, Canada, and France. NCT04171310 was a Phase 1 excretion balance and pharmacokinetics study in 6 healthy male subjects in the United Kingdom.

Is SAR442168 the same as other multiple sclerosis treatments?

SAR442168 is a distinct investigational small molecule developed by Sanofi. It is not identified as being the same as any other approved or investigational drug. Its mechanism of action has not been disclosed in available clinical trial information, and it is being studied specifically for multiple sclerosis indications.