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Sanofi provides update on tolebrutinib regulatory submission in non-relapsing secondary progressive multiple sclerosis Ongoing discussions with the FDA regarding nrSPMS application have indicated regulatory

Key Takeaway: Sanofi has updated the status of its regulatory submission for tolebrutinib, a treatment for non-relapsing secondary progressive multiple sclerosis (nrSPMS). The company anticipates that the review process will extend past the original target action date of December 28, 2025, and expects further guidance from the FDA by the end of Q1 2026. In response to the FDA's request for expanded access, Sanofi has submitted a protocol aimed at allowing eligible patients access to tolebrutinib. The investigational therapy aims to address significant unmet needs in MS by targeting neuroinflammation.

Market Sentiment Analysis

POSITIVE FACTORS

  • Sanofi shows commitment to providing access to tolebrutinib for nrSPMS patients.
  • The drug targets a significant unmet need in progressive multiple sclerosis.
  • Tolebrutinib is designed to address the underlying causes of disability accumulation in MS.

CONCERNS & RISKS

  • The review process for tolebrutinib's application will extend beyond the expected target date.
  • Further guidance from the FDA is not expected until the end of the first quarter of 2026.

Full Press Release Details

Sanofi provides update on tolebrutinib regulatory submission in non-relapsing secondary progressive multiple sclerosis
Paris, December 15, 2025. Sanofi anticipates that the review process for
the ongoing US regulatory review of tolebrutinib in non-relapsing secondary progressive multiple sclerosis (nrSPMS) will extend beyond the previously communicated US target action date of December 28,
2025, and expects further guidance from the FDA by the end of the first quarter of 2026.
In response to an FDA request, Sanofi has submitted an
expanded access protocol for tolebrutinib in nrSPMS, underscoring the company's commitment to providing eligible patients with access to this investigational therapy. Sanofi strongly believes in the risk-benefit profile of tolebrutinib for the
treatment of nrSPMS.
About multiple sclerosis
MS is a progressive neurologic disorder characterized by accumulation of disability with shifts in the underlying biology and dominant drivers of
disability over time impacting clinical presentation and treatment response.
Secondary progressive multiple sclerosis typically refers to people
with a previous diagnosis of relapsing MS who have stopped experiencing relapses but continue to experience disability accumulation, in the absence of relapses.
Addressing disability accumulation remains a significant unmet need in MS, as treatment options are limited.
Tolebrutinib is an investigational, oral, brain-penetrant Bruton's tyrosine kinase inhibitor specifically designed to target smoldering
neuroinflammation, a key driver of disability progression in MS. This mechanism addresses the underlying pathology of progressive MS by targeting the inflammatory processes that contribute to neurodegeneration and disability accumulation.
Tolebrutinib represents Sanofi's commitment to developing innovative treatments that address the underlying causes of neurological diseases and
potentially transform the treatment landscape. Standing at the intersection of neurology and immunoscience, Sanofi is focused on improving the lives of those living with serious neuro-inflammatory and neuro-degenerative conditions including MS,
chronic inflammatory demyelinating polyneuropathy, Alzheimer's disease, Parkinson's disease, and age-related macular degeneration. The neurology pipeline currently has several projects in phase 3
studies across various diseases.
Sanofi is an R&D driven, AI-powered biopharma company committed to improving people's lives and
delivering compelling growth. We apply our deep understanding of the immune system to invent medicines and vaccines that treat and protect millions of people around the world, with an innovative pipeline that could benefit millions more. Our team is
guided by one purpose: we chase the miracles of science to improve people's lives; this inspires us to drive progress and
deliver positive impact for our people and the communities we serve, by addressing the most urgent healthcare, environmental, and societal challenges of our time.
Sanofi is listed on EURONEXT: SAN and NASDAQ: SNY
Sandrine Guendoul | +33 6 25 09 14 25 |
Berland | +1 215 432 0234 | evan.berland@sanofi.com
L o Le Bourhis | +33 6 75 06 43 81 | leo.lebourhis@sanofi.com
Victor Rouault | +33 6 70 93 71 40 |
Gilbert | +1 516 521 2929 | timothy.gilbert@sanofi.com
L a Ubaldi | +33 6 30 19 66 46 | lea.ubaldi@sanofi.com
Thomas Kudsk Larsen | +44 7545 513 693 | thomas.larsen@sanofi.com
Aliz Kaisserian | +33 6 47 04 12 11 |
Browne | +1 781 249 1766 | keita.browne@sanofi.com
Nathalie Pham | +33 7 85 93 30 17 | nathalie.pham@sanofi.com
Thibaud Ch telet | +33 6 80 80 89 90 |
Li | +33 6 84 00 90 72 | yun.li3@sanofi.com
Sanofi forward-looking statement
contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their
underlying assumptions, statements regarding plans, objectives, intentions, and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance.
Forward-looking statements are generally identified by the words "expects", "anticipates", "believes", "intends", "estimates", "plans" and similar expressions. Although
Sanofi's management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of
which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements.
These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding
whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of
such product candidates, the fact that product candidates if approved may not be commercially successful, the future approval and commercial success of therapeutic alternatives, Sanofi's ability to benefit from external growth opportunities,
to complete related transactions and/or obtain regulatory clearances, risks associated with intellectual property and any related pending or future litigation and the ultimate outcome of such litigation, trends in exchange rates and prevailing
interest rates, volatile economic and market conditions, cost containment initiatives and subsequent changes thereto, and the impact that global crises may have on us, our customers, suppliers, vendors, and other business partners, and the financial
condition of any one of them, as well as on our employees and on the global economy as a whole. The risks and uncertainties also include the uncertainties discussed or identified in the public filings with the SEC and the AMF made by Sanofi,
including those listed under "Risk Factors" and "Cautionary Statement Regarding Forward-Looking Statements" in Sanofi's annual report on Form 20-F for the year ended
December 31, 2024. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.
All trademarks mentioned in this press release are the property of the Sanofi group.

Frequently Asked Questions

What is the status of tolebrutinib's regulatory review?

Sanofi expects the review of tolebrutinib for nrSPMS to extend beyond December 28, 2025.

What is nrSPMS?

Non-relapsing secondary progressive multiple sclerosis is a stage of MS where relapses cease but disability accumulates.

How does tolebrutinib work?

Tolebrutinib targets smoldering neuroinflammation to reduce disability progression in MS.

What is Sanofi's commitment regarding tolebrutinib?

Sanofi is dedicated to ensuring eligible patients have access to tolebrutinib through expanded access.

What other diseases is Sanofi focusing on?

Sanofi is also researching treatments for Alzheimer's, Parkinson's, and chronic inflammatory diseases.

Last updated: Dec 15, 2025