A Study to Investigate the Efficacy and Safety of SAR442970 in Adult Participants With Ulcerative Colitis

Purpose

This is a phase 2b, randomized, double-blind, 3-arm study for the treatment of Ulcerative Colitis. The primary objective of this study is to assess the efficacy of different doses of SAR442970 compared with placebo in participants with moderate to severe Ulcerative Colitis. The total study duration is up to 168 weeks, with a treatment period of up to 158 weeks including an open-label (OL) long-term extension (LTE) period of up to 104 weeks for eligible participants.

Condition

  • Ulcerative Colitis

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: - Male or female participants aged 18 to 75 years inclusive, at the time of signing the informed consent - Participants who have had clinical evidence of active UC for ≥3 months before screening and confirmed by endoscopy during the screening period - Must have active moderate-to-severe UC at screening as defined by a modified Mayo Score (mMS) of 5 to 9 (without the Physician Global Assessment (PGA), with a minimum Rectal Bleeding (RB) subscore ≥1, a minimum Stool Frequency (SF) subscore ≥1, mMES ≥2 confirmed by central reader, a minimum sum of all subscores of 5, and a minimum disease extent of 15 cm from the anal verge - Must have received prior treatment for UC (either "a" or "b" below or combination of both): 1. History of inadequate response to, loss of response to or intolerance to standard treatment with any of the following compounds: amino-salicylates, corticosteroids, methotrexate, azathioprine, or 6-mercaptopurine, or history of corticosteroid dependence (defined as an inability to successfully taper corticosteroids without recurrence of UC) AND history of no prior exposure to Advanced Therapies (ATs), such as a biologic agent used to treat UC or advanced small molecules used to treat UC 2. History of inadequate response to, loss of response to or intolerance to treatment with ≥1 approved AT such as a biologic agent used to treat UC or advanced small molecules used to treat UC - 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

  • Participants are excluded from the study if any of the following criteria apply: - Participants with active Crohn's Disease (CD), indeterminate colitis or microscopic colitis - Participants with fecal sample positive for culture/ova for aerobic pathogens or positive for Clostridium difficile B toxin in stools - Participant with ostomy or ileoanal pouch, prior colectomy or anticipated colectomy during their participation in the study - Participants with the following ongoing known complications of UC: fulminant disease, toxic megacolon or colonic dysplasia except for adenoma - Participants with intestinal failure or short bowel syndrome requiring Total Parenteral Nutrition - History of recurrent or recent serious infection within 4 weeks of screening, or infection(s) requiring hospitalization or treatment with IV anti-infectives within 30 days prior to baseline, or infections(s) requiring oral anti-infectives within 14 days prior to baseline, except as required as part of an anti-Tuberculosis (TB) regimen - Known history of or suspected significant current immunosuppression. - History or solid organ transplant or splenectomy - History of moderate to severe congestive heart failure (New York Health Association Class III or IV), or recent cerebrovascular accident. - History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease - Participants with a history of malignancy or lymphoproliferative disease other than adequately treated localized carcinoma in situ of the cervix or nonmetastatic squamous cell carcinoma, or nonmetastatic basal cell carcinoma of the skin - Participants with a diagnosis of inflammatory conditions other than UC (including but not limited to systemic lupus erythematosus, systemic sclerosis, myositis, rheumatoid arthritis, primary biliary cirrhosis, multiple sclerosis, Behcet's disease, sarcoidosis, etc.) - History of Human Immunodeficiency Virus (HIV) infection or positive HIV serology at Screening - History of Interstitial Lung Disease - Participants with any of the following results at Screening: - Positive (or indeterminate) Hepatitis B surface antigen (HBs Ag) or, - Positive total Hepatitis B core antibody (anti-HBc) confirmed by positive Hepatitis B Virus (HBV) Deoxyribonucleic acid (DNA) or, - Positive Hepatitis C Virus (HCV) antibody - Screening laboratory and other analyses showing abnormal results - History of any other condition which, in the opinion of the Investigator, would put the participant at risk by participation in the protocol The above information is not intended to contain all considerations relevant to a participant'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
SAR442970 Dose Regimen A
Participants will receive SAR442970 dose regimen A
  • Drug: SAR442970
    Route of administration: Subcutaneous
Experimental
SAR442970 Dose Regimen B
Participants will receive SAR442970 dose regimen B
  • Drug: SAR442970
    Route of administration: Subcutaneous
  • Drug: Placebo
    Route of administration: Subcutaneous
Placebo Comparator
Placebo
Participants will receive SAR442970-matching placebo
  • Drug: Placebo
    Route of administration: Subcutaneous

Recruiting Locations

Investigational Site Number: 8400009
Escondido 5346827, California 5332921 92025

Investigational Site Number: 8400006
Lancaster 5364940, California 5332921 93534

Investigational Site Number: 8400025
Thousand Oaks 5402405, California 5332921 91360

Investigational Site Number: 8400024
Jacksonville 4160021, Florida 4155751 32258

Investigational Site Number: 8400030
Kissimmee 4160983, Florida 4155751 347441

Investigational Site Number: 8400003
Lighthouse PT 4161957, Florida 4155751 33064

Investigational Site Number: 8400001
Miami 4164138, Florida 4155751 33134

Investigational Site Number: 8400011
Miami 4164138, Florida 4155751 33136

Investigational Site Number: 8400010
Palmetto Bay 4167634, Florida 4155751 33176

Investigational Site Number: 8400019
Tampa 4174757, Florida 4155751 33609

Investigational Site Number: 8400018
Marietta 4207783, Georgia 4197000 30060

Investigational Site Number: 8400005
Iowa City 4862034, Iowa 4862182 52242

Investigational Site: 8400017
Boston 4930956, Massachusetts 6254926 02115

Investigational Site Number: 8400012
Wyoming 5015618, Michigan 5001836 49519

Investigational Site Number: 8400014
St Louis 4407066, Missouri 4398678 63110

Investigational Site Number: 8400021
New York 5128581, New York 5128638 10029

Investigational Site Number: 8400029
Queens Village 5133271, New York 5128638 11428

Investigational Site Number: 8400002
Chapel Hill 4460162, North Carolina 4482348 27514

Investigational Site Number: 8400013
Harrisburg 5192726, Pennsylvania 6254927 17110

Investigational Site Number: 8400023
Houston 4699066, Texas 4736286 77030

Investigational Site Number: 8400007
Ogden 5779206, Utah 5549030 84405

More Details

NCT ID
NCT06975722
Status
Recruiting
Sponsor
Sanofi

Study Contact

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