A Study to Investigate Efficacy and Safety of SAR441566 in Patients With Crohn's Disease.

Purpose

This is a phase 2, multinational, multicenter, randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the efficacy and safety of SAR441566 in adults with moderate to severe Crohn's Disease (CD). The primary objective of this study is to assess the efficacy of different doses of SAR441566 compared with placebo in participants with moderate to severe CD. This study will have an anticipated duration of up to 59 weeks which will include a screening period of 4 weeks (+7 calendar days if needed), followed by the Main Study (MS) treatment period, lasting 52 weeks, and a 2-week follow-up period after end of treatment. The MS period includes a Double-Blind (DB) treatment period with 12 weeks of induction followed by 40 weeks of maintenance. Additionally, an Open Label (OL) period of up to 40 weeks will be offered to eligible participants. The combined duration of the DB maintenance and OL periods cannot exceed 40 weeks, depending on when participants switch.

Condition

  • Crohn's Disease

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply: 1. Male or female participants aged 18 to 75 years at the time of signing the ICF 2. Confirmed diagnosis of CD for at least 3 months prior to Baseline 3. Confirmed diagnosis of moderate to severe CD as assessed by: - Crohn's Disease Activity Index (CDAI) score and the Simple Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader - stool frequency (SF), abdominal pain (AP) score 4. History of prior exposure to standard treatment (5-ASA, steroids, immunomodulators or antibiotics) or advanced therapies (biologics or small molecules), but having inadequate response to, loss or response to or intolerance to at least one of these therapies 5. On stable doses of standard treatments prior to screening (Oral 5-ASA compounds, Oral corticosteroids, AZA, 6-MP, or MTX ..) 6. Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Women participants should not be pregnant or breastfeeding.

Exclusion Criteria

Participants are excluded from the study if any of the following criteria apply: 1. Participants with active UC, indeterminate colitis or short bowel syndrome 2. Participants with CD isolated to the stomach, duodenum, jejunum, or peri anal region, without colonic or ileal involvement 3. Participants with following ongoing known complications of CD: fistula, abscess, symptomatic stricture/stenosis, fulminant colitis, toxic megacolon, recent bowel resection within 3 months of screening or history of > 3 bowel resections 4. Participants with stool sample positive for infectious pathogens 5. Participants with active tuberculosis (TB) or a history of incompletely treated active or latent TB per local guidelines 6. Participants with Positive Hepatitis B surface antigen (HBsAg) or positive Hepatitis B core antibody (HBcAb); and/or positive Hepatitis C antibody (HCV) at the Screening Visit 7. Participants with any other active, chronic or recurrent infection, including recurrent or disseminated herpes zoster or disseminated herpes simplex 8. Participants with a known history of Human Immunodeficiency Virus (HIV) infection or positive HIV-1 or HIV-2 serology at screening 9. Participants presenting with active malignancies, lymphoproliferative disease, or recurrence of either, within the 5 years before screening 10. History of colonic mucosal dysplasia or presence of colonic mucosal dysplasia or adenomatous colonic polyps not removed during colonoscopy at screening visit 11. Infection(s) requiring treatment with IV anti infectives within 30 days or oral/intramuscular anti-infectives within 14 days prior to the screening visit 12. Participants requiring or receiving any parental nutrition and/or exclusive enteral nutrition 13. Participants who received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to screening 14. Participants who received fecal microbial transplantation within 30 days prior to screening 15. Participants who have ever been exposed to natalizumab (Tysabri®) or oral carotegrast methyl (Carogra®) 16. Participants who received IV corticosteroids within 14 days prior to screening or during screening period 17. Participants who received therapeutic enema or suppository, other than required for colonoscopy within 14 days prior to screening or during screening 18. Screening laboratory and other analyses show abnormal results The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
SAR441566 dose 1
Participants will receive SAR441566 dose 1.
  • Drug: SAR441566
    Pharmaceutical form: Tablet Route of administration: Oral
Experimental
SAR441566 dose 2
Participants will receive SAR441566 dose 2.
  • Drug: SAR441566
    Pharmaceutical form: Tablet Route of administration: Oral
Experimental
SAR441566 dose 3
Participants will receive SAR441566 dose 3.
  • Drug: SAR441566
    Pharmaceutical form: Tablet Route of administration: Oral
Placebo Comparator
Placebo
Participants will receive SAR441566 matching placebo.
  • Drug: SAR441566 matching Placebo
    Pharmaceutical form: Tablet Route of administration: Oral

Recruiting Locations

GI Alliance - Arizona Digestive Health - Sun City- Site Number : 8400020
Sun City 5316201, Arizona 5551752 85351

Bristol Hospital- Site Number : 8400007
Bristol 5282835, Connecticut 4831725 06010

Novum Research- Site Number : 8400021
Clermont 4151352, Florida 4155751 34711

Homestead Associates in Research- Site Number : 8400012
Homestead 4159050, Florida 4155751 33033

Clinical Research of Osceola- Site Number : 8400013
Kissimmee 4160983, Florida 4155751 34741

Wellness Clinical Research - Miami Lakes - 8181 Northwest 154th Street- Site Number : 8400010
Miami Lakes 4164186, Florida 4155751 33016

GCP Clinical Research- Site Number : 8400004
Tampa 4174757, Florida 4155751 33609

GI Alliance - Glenview- Site Number : 8400015
Glenview 4893886, Illinois 4896861 60026

Illinois Gastroenterology Group- Site Number : 8400011
Gurnee 4894861, Illinois 4896861 60031

University of Michigan Health System - Ann Arbor- Site Number : 8400017
Ann Arbor 4984247, Michigan 5001836 48109

GI Alliance - Flowood- Site Number : 8400019
Flowood 4426822, Mississippi 4436296 39232

Vector Clinical Trials- Site Number : 8400001
Las Vegas 5506956, Nevada 5509151 89128

Queens Village Primary Medical Center- Site Number : 8400005
Queens Village 5133271, New York 5128638 11428

Carolina Digestive Diseases and Endoscopy Center- Site Number : 8400014
Greenville 4469160, North Carolina 4482348 27834

Frontier Clinical Research - Uniontown- Site Number : 8400009
Uniontown 4561859, Pennsylvania 6254927 15401

Gastro Health & Nutrition- Site Number : 8400003
Katy 4702732, Texas 4736286 77494

Texas Digestive Disease Consultants - Southlake- Site Number : 8400002
Southlake 4733313, Texas 4736286 76092

Washington Gastroenterology - Tacoma- Site Number : 8400008
Tacoma 5812944, Washington 5815135 98405

More Details

Status
Recruiting
Sponsor
Sanofi

Study Contact

Trial Transparency email recommended (Toll free for US & Canada)
800-633-1610
contact-us@sanofi.com