Non-inferiority Study of Frexalimab Subcutaneous Administration Compared to Intravenous Administration in Adult Participants With Multiple Sclerosis

Purpose

This is a randomized, open-label, parallel, Phase 3 study with 2-arms for treatment. The purpose of this study is to evaluate SC administration of frexalimab every 4 weeks (q4w) compared to IV administration of frexalimab q4w in male and female participants with RMS and nrSPMS (aged 18 to 60 years at the time of enrollment). People diagnosed with MS are eligible for enrollment as long as they meet all the inclusion criteria and none of the exclusion criteria. Study details include: The study intervention duration will be 48 weeks (12 months) for Parts A and B combined. Optional Part C will last until the initiation of a long term safety study for Frexalimab.The follow up duration after the end of study intervention (in case of discontinuation) will be 6 months. The number of scheduled visits (Parts A and B) will be 17 or 11 for participants receiving frexalimab SC or IV, respectively, with an on-site visit frequency of every month between Week 4 and Week 24 in Part A, then every 1 to 3 months in Part B, then every 6 months in Part C. Participants discontinuing treatment before the End of Study will have an additional 3 follow-up visits.

Condition

  • Multiple Sclerosis

Eligibility

Eligible Ages
Between 18 Years and 60 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

The participant must qualify for inclusion per either Group A or B criteria as detailed below, meeting all the inclusion criteria of the applicable group: Group A (RMS) - The participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent. - The participant must have been diagnosed with RMS in accordance with the 2017 revised McDonald criteria. - The participant must have an Expanded Disability Status Scale (EDSS) score of ≤5.5 at the first visit (Screening Visit). - The participant must have at least 1 of the following prior to screening: - 1 documented relapse within the previous year OR - 2 documented relapses within the previous 2 years, OR - 1 documented Gd enhancing lesion on an MRI scan within the previous year. Group B (nrSPMS) - Participant must have a previous diagnosis of RRMS in accordance with the 2017 revised McDonald criteria - The participant must be 18 to 60 years of age, inclusive, at the time of signing the informed consent. - The participant must have a current diagnosis of SPMS in accordance with the clinical course criteria revised in 2013. - The participant must have documented evidence of disability progression observed during the 12 months before screening. - The participant must have an absence of clinical relapses for at least 24 months. - The participant must have an EDSS score between 3.0 and 6.5 points, inclusive, at the first visit (Screening Visit). Participants from Group A and Group B are eligible to be included in the study only if all of the following criteria also apply: - Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion Criteria

  • The participant has been diagnosed with primary progressive MS according to the 2017 revision of the McDonald diagnostic criteria. - The participant has a history of infection or may be at risk for infection: - Fever within 28 days of the Screening Visit - Presence of psychiatric disturbance or substance abuse - History, clinical evidence, suspicion or significant risk for thromboembolic events, as well as myocardial infarction, stroke, and/or antiphospholipid syndrome and any participants requiring antithrombotic treatment. - Current hypogammaglobulinemia defined by Ig levels (IgG and/or IgM) below the LLN at screening or a history of primary hypogammaglobulinemia. - A history or presence of disease that can mimic MS symptoms. - The participant has a contraindication for MRI. 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 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Frexalimab SC
Frexalimab SC (home self-administration via on-body delivery system(OBDS), is allowed from the beginning of Part B after appropriate training and participant and Investigator agreement)
  • Drug: Frexalimab
    Pharmaceutical form:Solution for injection-Route of administration:SC injection
    Other names:
    • SAR441344
  • Drug: MRI contrast-enhancing preparations
    Route of administration:IV injection
Experimental
Frexalimab IV
Frexalimab IV
  • Drug: Frexalimab
    Pharmaceutical form:Concentrate for solution for infusion-Route of administration:IV infusion
    Other names:
    • SAR441344
  • Drug: MRI contrast-enhancing preparations
    Route of administration:IV injection

Recruiting Locations

North Central Neurology Associates- Site Number : 8401100
Cullman, Alabama 35058

Alabama Neurology Associates- Site Number : 8400115
Homewood, Alabama 35209

Center for Neurology and Spine - Phoenix - East Bell Road- Site Number : 8400195
Phoenix, Arizona 85032

Perseverance Research Center- Site Number : 8400138
Scottsdale, Arizona 85253

Private Practice - Dr. Regina Berkovich- Site Number : 8400005
West Hollywood, California 90048

Advanced Neurology of Colorado- Site Number : 8400148
Fort Collins, Colorado 80528

Neurology of Central Florida- Site Number : 8400147
Altamonte Springs, Florida 32714

Aqualane Clinical Research- Site Number : 8400026
Naples, Florida 34105

Neurology Associates of Ormond Beach- Site Number : 8400086
Ormond Beach, Florida 32174

Palm Beach Neurology- Site Number : 8400105
West Palm Beach, Florida 33407

Joi Life Wellness Group LLC- Site Number : 8400192
Smyrna, Georgia 30080

Consultants in Neurology- Site Number : 8400020
Northbrook, Illinois 60062

Michigan Institute for Neurological Disorders- Site Number : 8400004
Farmington Hills, Michigan 48334

Holy Name Medical Center- Site Number : 8400101
Teaneck, New Jersey 07666

Piedmont HealthCare - Lake Norman Neurology- Site Number : 8400002
Charlotte, North Carolina 28210

Raleigh Neurology Associates- Site Number : 8400014
Raleigh, North Carolina 27607

The Ohio State University- Site Number : 8400009
Columbus, Ohio 43210

The Boster Center for Multiple Sclerosis- Site Number : 8400006
Columbus, Ohio 43235

Hope Neurology- Site Number : 8400019
Knoxville, Tennessee 37922

ANESC Research- Site Number : 8400187
El Paso, Texas 79912

North Texas Institute of Neurology & Headache - Plano- Site Number : 8400082
Plano, Texas 75024

North Texas Institute of Neurology & Headache - Plano- Site Number : 8400083
Plano, Texas 75024

More Details

Status
Recruiting
Sponsor
Sanofi

Study Contact

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