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A Study to Investigate Long-term Safety and Tolerability of Frexalimab in Participants With Multiple Sclerosis

2026년 11월 10일 업데이트: Sanofi

A Phase 3 Extension Study to Investigate Long-term Safety and Tolerability of Frexalimab in Participants With Multiple Sclerosis.

Study LTS18002 is a global, multicenter, open-label (OL), Phase 3, long-term safety and efficacy extension study.

The purpose of this study is to provide continued access to frexalimab for participants with MS, and to evaluate the long-term safety and efficacy profile of frexalimab. This study will monitor delayed AEs, assess the durability of safety findings and characterize any emerging safety signals that may develop over an extended follow up period.

Study details include:

  • The study duration will be up to 4 years.

  • The OL treatment duration will be up to 96 weeks (corresponding to approximately 2 years) per participant.

  • There is an additional 24 weeks of safety follow up from the last dose of OL frexalimab for all participants (safety follow-up period/EOS: 4, 12 and 24 weeks after last investigational medicinal product(IMP) or OL frexalimab administration).

  • The number of visits over the 2-year duration will be dependent on subgroup assignment which is based on parent study from which the participant has entered the LTS18002 :

    1. ACT16877, EFC17504, EFC18098, and ASY22814 participants

      • Will have on-site visits every 12 weeks (9 visits)

        • Additionally, there will be 16 on-site visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92) for all participants EXCEPT those entering from EFC18098 (frexalimab open label administration is conducted at home via SC large volume (OBDS VT) device)

          • There will be 3 follow up visits beginning 4 weeks after the last administration of OL frexalimab

            • Home administration is allowed for participants from ACT16877, based on Investigator judgement, participant/caregiver training and local availability. Home nurse services are mandatory for at-home administration.

              • Home nurse services for at home administration may be considered for EFC17504 participants after Week 24 administration of OL frexalimab, based on availability. Participants that have initiated OL frexalimab via home administration during the parent study may continue to receive it in this manner.

                • NOTE: For participants from EFC17504, all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams
    2. EFC17919A/B participants

      • Will have on site visits every 12 weeks (9 visits)

        • Will have a total of 16 visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92)

          • Additionally, there will be up to 3 visits for administration of DB treatment (until results become available and randomization assignment availability).

            • Home nurse services for at home administration may be considered for EFC17919A/B participants after Week 24 administration of OL frexalimab, based on availability.

NOTE: all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams.

연구 개요

연구 유형

중재적

등록 (추정된)

2500

단계

  • 3단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

  • 이름: Trial Transparency email recommended (Toll free for US & Canada)
  • 전화번호: option 6 800-633-1610
  • 이메일: Contact-US@sanofi.com

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 (성인)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

- Participants with relapsing multiple sclerosis(RMS) or non-relapsing secondary progressive multiple sclerosis(nrSPMS) who completed, on IMP, the Phase 2 ACT16877 study, or one of the four Phase 3 frexalimab studies in MS indication (EFC17919A and EFC17919B, EFC17504, EFC18098), or planned Phase 2 biomarker ASY22814.

Exclusion Criteria:

  • If IMP discontinuation criteria are met as per guidance
  • The participant is at risk for or has a persistent chronic, active (including fever ≥38°C and clinically unstable), recurring systemic infection or opportunistic infections (eg, PML See Appendix in protocol) as judged by the Investigator.
  • Notably low immunoglobulin G(IgG) levels, defined as a level that is 20% below the LLN, and/or notably low IgM level, defined as a level 10% below the LLN.
  • Participants who developed clinically relevant cardiovascular, hepatic, endocrine, neuropsychiatric or other major systemic disease making implementation of the protocol or interpretation of the study results difficult or that would put the participant at risk by participating in the extension study, as judged by the Investigator.
  • 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.
  • Continued need for/chronic use of a prohibited concomitant medication.
  • Suicidal risk as per C-SSRS: if a participant scores "yes" on items 4 or 5 of the Suicidal Ideation Section, or "yes" on any item of the Suicidal Behavior Section.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위화되지 않음
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Frexalimab SC (OL)

Participants will be administered frexalimab subcutaneous

Pharmaceutical form:Solution for injection-Route of administration:SC

다른 이름들:
  • SAR441344

Pharmaceutical form:Solution for infusion-Route of administration:IV

다른 이름들:
  • SAR441344

Route of administration:IV

실험적: Frexalimab IV (OL)

Participants will be administered frexalimab intravenously

Pharmaceutical form:Solution for injection-Route of administration:SC

다른 이름들:
  • SAR441344

Pharmaceutical form:Solution for infusion-Route of administration:IV

다른 이름들:
  • SAR441344

Route of administration:IV

실험적: Frexalimab (DB)

For EFC17919A/B parent study participants: at Opt-in visit participants will continue to be administered f rexalimab through unblinding visit. Participants will receive placebo tablet once daily until the unblinding visit.

Pharmaceutical form:Solution for injection-Route of administration:SC

다른 이름들:
  • SAR441344

Pharmaceutical form:Solution for infusion-Route of administration:IV

다른 이름들:
  • SAR441344

Route of administration:IV

Pharmaceutical form:Tablet-Route of administration:Oral

Route of administration:oral

Route of administration:oral

활성 비교기: Teriflunomide (DB)

For EFC17919A/B parent study participants: at Opt-in visit participants will continue to receive teriflunomide tablet. The placebo will be administered to participants at the same infusion rate and duration as for frexalimab from the opt-in visit until availability of results and unblinding.

Route of administration:IV

Route of administration:oral

Route of administration:oral

Pharmaceutical form:Solution for infusion-Route of administration:IV

Pharmaceutical form:Tablet-Route of administration:Oral

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Number of participants with Adverse Events(AEs)
기간: up to to approximately 2.5 years since last participant in

Number of participants with Adverse Events(AEs), serious adverse event(SAEs), AEs leading to permanent study intervention discontinuation, adverse event of special interest(AESIs), local tolerability, clinically significant abnormalities in laboratory tests, Columbia-Suicide Severity Rating Scale(C-SSRS)

up to to approximately 2.5 years since last participant in

2차 결과 측정

결과 측정
측정값 설명
기간
Participants from EFC17919A, EFC17919B, and EFC17504 studies only: time to onset of 6-month composite confirmed disability worsening(cCDW) for RMS or composite confirmed disability progression(cCDP) for nrSPMS
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
Time to onset of individual components of the composite, confirmed over 3 months or 6 months EDSS for all prior study participants 9-HPT, T25FW test (participants rolling over from EFC17504, EFC17919A, and EFC17919B)
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
Progression independent of relapse activity defined as the time to onset of 6-month cCDW
기간: up to to approximately 2.5 years since last participant in

Progression independent of relapse activity defined as the time to onset of 6-month cCDW, defined by either no prior relapse or an onset more than 90 days after the start date of the last Investigator reported relapse (participants rolling over from EFC17919A and EFC17919B)

up to to approximately 2.5 years since last participant in
Number of new and/or enlarging T2-hyperintense lesions per year as detected by MRI
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
Total number of new GdE T1 lesions per year as detected by MRI
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
Change from baseline at scheduled visits in total volume of T2-hyperintense lesions as detected by brain MRI
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
ARR assessed by confirmed protocol defined relapses
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
antidrug antibodys(ADAs) incidence
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in
Change from baseline in serum immunoglobulin(Ig) levels
기간: up to to approximately 2.5 years since last participant in
up to to approximately 2.5 years since last participant in

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (추정된)

2027년 2월 15일

기본 완료 (추정된)

2031년 5월 16일

연구 완료 (추정된)

2031년 5월 16일

연구 등록 날짜

최초 제출

2026년 11월 3일

QC 기준을 충족하는 최초 제출

2026년 11월 10일

처음 게시됨 (실제)

2026년 11월 12일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 11월 12일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 11월 10일

마지막으로 확인됨

2026년 11월 1일

추가 정보

이 연구와 관련된 용어

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

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미국 FDA 규제 의약품 연구

예

미국 FDA 규제 기기 제품 연구

아니

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