ClinConnect ClinConnect Logo
Search / Trial NCT06141473

Efficacy and Safety Studies of Frexalimab (SAR441344) in Adults With Relapsing Forms of Multiple Sclerosis

Launched by SANOFI · Nov 15, 2023

Trial Information

Current as of August 19, 2025

Recruiting

Keywords

ClinConnect Summary

This clinical trial is studying the effectiveness and safety of a medication called frexalimab (also known as SAR441344) for adults who have relapsing forms of multiple sclerosis (MS). The goal is to see how well frexalimab works in preventing MS relapses compared to another medication called teriflunomide. To participate, individuals must be between 18 and 55 years old and have been diagnosed with relapsing MS, showing signs of recent relapses or specific MRI findings.

Participants in the trial will have regular visits to monitor their health, starting with visits every four weeks for the first six months, and then every three months thereafter. The entire study duration varies but will last approximately 20 to 40 months, depending on when they join. It’s important to note that certain health conditions or recent relapses may prevent someone from participating. This study is currently recruiting participants, and anyone interested should check with their healthcare provider to see if they qualify.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • The participant must have been diagnosed with RMS according to the 2017 revision of the McDonald diagnostic criteria.
  • The participant has an EDSS score ≤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.
  • Contraceptive use by men or 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 PPMS according to the 2017 revision of the McDonald diagnostic criteria
  • * The participant has a history of infection or may be at risk for infection:
  • The 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 antiphosholipid syndrome and any participants requiring antithrombotic treatment.
  • History or current hypogammaglobulinemia defined by values below the lower limit of normal (LLN).
  • A history or presence of disease that can mimic MS symptoms, such as, but not limited to neuromyelitis optica spectrum disorder, systemic lupus erythematosus, Sjogren's syndrome, acute disseminated encephalomyelitis, and myasthenia gravis.
  • The participant has had a relapse in the 30 days prior to randomization.
  • The participant has contraindication for MRI, ie, presence of pacemaker, metallic implants in high risk areas (ie, artificial heart valves, aneurysm/vessel clips), presence of metallic material (eg, shrapnel) in high risk areas, known history of allergy to any contrast medium, or history of claustrophobia that would prevent completion of all protocol scheduled MRI scans.
  • The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

About Sanofi

Sanofi is a global healthcare leader dedicated to empowering life through innovation in pharmaceuticals and vaccines. With a strong commitment to research and development, Sanofi focuses on addressing complex health challenges across various therapeutic areas, including diabetes, oncology, immunology, and rare diseases. The company leverages advanced science and technology to develop transformative therapies that improve patient outcomes. Through collaborative partnerships and a patient-centric approach, Sanofi strives to enhance global health and deliver sustainable solutions that meet the evolving needs of healthcare systems and communities worldwide.

Locations

Fairfax, Virginia, United States

Milwaukee, Wisconsin, United States

Buenos Aires, , Argentina

Buenos Aires, , Argentina

Tianjin, , China

Birmingham, Alabama, United States

Carlsbad, California, United States

Statesville, North Carolina, United States

Scottsdale, Arizona, United States

Irvine, California, United States

Savannah, Georgia, United States

Iowa City, Iowa, United States

Verona, , Italy

Katowice, Slaskie, Poland

Katowice, Slaskie, Poland

Zabrze, Slaskie, Poland

Kielce, Swietokrzyskie, Poland

Lublin, , Poland

Buenos Aires, , Argentina

Yinchuan, , China

Québec City, Quebec, Canada

Nashik, , India

Thiruvananthapuram, , India

Rome, Roma, Italy

Goiânia, Goiás, Brazil

Laguna Hills, California, United States

Alexandria, Louisiana, United States

Baton Rouge, Louisiana, United States

Albuquerque, New Mexico, United States

Charlotte, North Carolina, United States

Dayton, Ohio, United States

Seattle, Washington, United States

Tacoma, Washington, United States

São Paulo, , Brazil

Prague, , Czechia

Bochum, , Germany

Athens, , Greece

Pecs, , Hungary

Genoa, Genova, Italy

Rome, Roma, Italy

Rome, Roma, Italy

Foggia, , Italy

Pavia, , Italy

Kodaira, Tokyo, Japan

Fukuoka, , Japan

Lodz, Lódzkie, Poland

Plewiska, Wielkopolskie, Poland

Zory, , Poland

Guimaraes, , Portugal

Lisbon, , Portugal

Constanta, , Romania

Valencia, , Spain

Sultangazi, , Turkey

Tlalnepantla De Baz, , Mexico

Martin, , Slovakia

Homewood, Alabama, United States

Kaposvár, , Hungary

Zory, Slaskie, Poland

Brasília, Distrito Federal, Brazil

Guadalajara, Jalisco, Mexico

Birmingham, Alabama, United States

Birmingham, Alabama, United States

Scottsdale, Arizona, United States

West Hollywood, California, United States

Aurora, Colorado, United States

Fort Collins, Colorado, United States

Norwich, Connecticut, United States

Tampa, Florida, United States

Northbrook, Illinois, United States

Springfield, Illinois, United States

Merrillville, Indiana, United States

Detroit, Michigan, United States

Grand Rapids, Michigan, United States

New Brunswick, New Jersey, United States

Albuquerque, New Mexico, United States

Fargo, North Dakota, United States

Columbus, Ohio, United States

Columbus, Ohio, United States

Dayton, Ohio, United States

Knoxville, Tennessee, United States

San Antonio, Texas, United States

Sherman, Texas, United States

Vienna, Virginia, United States

Seattle, Washington, United States

Milwaukee, Wisconsin, United States

Porto Alegre, Rio Grande Do Sul, Brazil

Sao Paulo, São Paulo, Brazil

Edmonton, Alberta, Canada

Dongguan, , China

Brno, , Czechia

Sapporo Shi, Hokkaido, Japan

Matosinhos, , Portugal

Campulung Muscel, , Romania

Sevilla, Andalucia, Spain

Valladolid, , Spain

Delhi, , India

Abington, Pennsylvania, United States

Santiago, , Chile

Irvine, California, United States

Orlando, Florida, United States

Saint Louis, Missouri, United States

Portland, Oregon, United States

Greenville, South Carolina, United States

Fairfax, Virginia, United States

Tacoma, Washington, United States

Joinville, Santa Catarina, Brazil

Sao Paulo, São Paulo, Brazil

Santiago De Chile, , Chile

Murcia, , Spain

Innsbruck, , Austria

Leipzig, , Germany

Boca Raton, Florida, United States

Charlotte, North Carolina, United States

Plano, Texas, United States

Curitiba, Paraná, Brazil

Porto Alegre, Rio Grande Do Sul, Brazil

Katowice, , Poland

Katowice, , Poland

Scottsdale, Arizona, United States

Santo André, São Paulo, Brazil

Overland Park, Kansas, United States

Charlotte, North Carolina, United States

Columbus, Ohio, United States

Chieti, , Italy

Aurora, Colorado, United States

Stamford, Connecticut, United States

Morioka Shi, Iwate, Japan

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Eskisehir, , Turkey

Iowa City, Iowa, United States

Plymouth, Minnesota, United States

Konya, , Turkey

Chiba, , Japan

Madrid, Madrid, Comunidad De, Spain

Kyiv, , Ukraine

Guimaraes, , Portugal

Lutsk, , Ukraine

Philadelphia, Pennsylvania, United States

Vilnius, , Lithuania

Lancaster, California, United States

Baton Rouge, Louisiana, United States

Seattle, Washington, United States

Menomonee Falls, Wisconsin, United States

Panagyurishte, , Bulgaria

Pleven, , Bulgaria

Brno, , Czechia

Milan, Lombardia, Italy

Caserta, , Italy

Ferrara, , Italy

Palermo, , Italy

Culiacan, Sinaloa, Mexico

Lisbon, , Portugal

Izmit, , Turkey

Vinnytsia, , Ukraine

Salford, , United Kingdom

West Palm Beach, Florida, United States

Evanston, Illinois, United States

Owosso, Michigan, United States

Winston Salem, North Carolina, United States

Oklahoma City, Oklahoma, United States

San Antonio, Texas, United States

Santiago De Chile, , Chile

Haifa, , Israel

Phoenix, Arizona, United States

Belo Horizonte, Minas Gerais, Brazil

Vancouver, , Canada

Hohhot, , China

Ravenna, , Italy

Orlando, Florida, United States

Reno, Nevada, United States

Raleigh, North Carolina, United States

Northbrook, Illinois, United States

Knoxville, Tennessee, United States

Altamonte Springs, Florida, United States

Merrillville, Indiana, United States

Centerville, Ohio, United States

Guaynabo, , Puerto Rico

Canterbury, Kent, United Kingdom

Plano, Texas, United States

Sherman, Texas, United States

Granby, Quebec, Canada

San Antonio, Texas, United States

Farmington Hills, Michigan, United States

Denver, Colorado, United States

Roeland Park, Kansas, United States

St. Johns, Newfoundland And Labrador, Canada

Como, , Italy

Modena, , Italy

Palermo, , Italy

Ferrara, , Italy

Lancaster, California, United States

Charlotte, North Carolina, United States

Levis, Quebec, Canada

Pécs, , Hungary

Phoenix, Arizona, United States

Laguna Hills, California, United States

Altamonte Springs, Florida, United States

Maitland, Florida, United States

Tampa, Florida, United States

West Palm Beach, Florida, United States

Savannah, Georgia, United States

Farmington Hills, Michigan, United States

Saint Louis, Missouri, United States

Las Vegas, Nevada, United States

Lebanon, New Hampshire, United States

Raleigh, North Carolina, United States

Cincinnati, Ohio, United States

Dallas, Texas, United States

Plano, Texas, United States

London, Ontario, Canada

Thessaloniki, , Greece

Koriyama Shi, Fukushima, Japan

Guaynabo, , Puerto Rico

Boston, Massachusetts, United States

Ciudad De Córdoba, Córdoba, Argentina

Changchun, , China

Chengdu, , China

Ivano Frankivsk, , Ukraine

Kaohsiung, , Taiwan

Foxboro, Massachusetts, United States

Plymouth, Minnesota, United States

Chernivtsi, , Ukraine

Madrid, , Spain

Cullman, Alabama, United States

Scottsdale, Arizona, United States

Carlsbad, California, United States

Stamford, Connecticut, United States

Washington, District Of Columbia, United States

Boca Raton, Florida, United States

Evanston, Illinois, United States

Iowa City, Iowa, United States

Kansas City, Kansas, United States

Lexington, Kentucky, United States

Louisville, Kentucky, United States

New Orleans, Louisiana, United States

Lutherville, Maryland, United States

Foxboro, Massachusetts, United States

Ozark, Missouri, United States

Reno, Nevada, United States

Winston Salem, North Carolina, United States

Centerville, Ohio, United States

Oklahoma City, Oklahoma, United States

Abington, Pennsylvania, United States

Philadelphia, Pennsylvania, United States

Pittsburgh, Pennsylvania, United States

Salt Lake City, Utah, United States

Gent, , Belgium

Porto Alegre, Rio Grande Do Sul, Brazil

Santo Andre, São Paulo, Brazil

Sao Paulo, São Paulo, Brazil

Foggia, , Italy

Madrid, , Spain

New Brunswick, New Jersey, United States

Dayton, Ohio, United States

Caba, Buenos Aires, Argentina

Caba, Ciudad De Buenos Aires, Argentina

Caba, Ciudad De Buenos Aires, Argentina

Joinville, Santa Catarina, Brazil

Beijing, , China

Hangzhou, , China

Nanjing, , China

Pune, , India

Ota Ku, Tokyo, Japan

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Istanbul, , Turkey

Exeter, Devon, United Kingdom

Birmingham, Alabama, United States

Cullman, Alabama, United States

Norwich, Connecticut, United States

Washington, District Of Columbia, United States

Albuquerque, New Mexico, United States

Columbus, Ohio, United States

Portland, Oregon, United States

Seattle, Washington, United States

Tacoma, Washington, United States

Chengdu, , China

Chongqing, , China

Wenzhou, , China

Wuhan, , China

Bursa, , Turkey

Istanbul, , Turkey

Izmir, , Turkey

Van, , Turkey

Blagoevgrad, , Bulgaria

Sofia, , Bulgaria

Hradec Králové, , Czechia

Ostrava, , Czechia

Prague, , Czechia

Teplice, , Czechia

Esbjerg, , Denmark

Shimla, , India

Asahikawa, Hokkaido, Japan

Goyang Si, Gyeonggi Do, Korea, Republic Of

Heerlen, , Netherlands

Braga, , Portugal

Coimbra, , Portugal

Nitra, , Slovakia

Trnava, , Slovakia

Barakaldo, Bizkaia, Spain

Donostia San Sebastian, Gipuzkoa, Spain

Madrid, Madrid, Comunidad De, Spain

Kaohsiung City, , Taiwan

Krykhivtsi, , Ukraine

Louisville, Kentucky, United States

Minneapolis, Minnesota, United States

Rosario, Santa Fe, Argentina

Salvador, Bahia, Brazil

Catania, , Italy

Napoli, , Italy

Udine, , Italy

Kielce, , Poland

Guimarães, , Portugal

Tampa, Florida, United States

Louisville, Kentucky, United States

Dongguan, , China

Jinan, , China

Shenyang, , China

Shijiazhuang, , China

Suzhou, , China

Seongnam, Gyeonggi Do, Korea, Republic Of

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Ankara, , Turkey

London, London, City Of, United Kingdom

Taiyuan, , China

Gatineau, Quebec, Canada

Owosso, Michigan, United States

Patchogue, New York, United States

Linz, , Austria

Ottawa, Ontario, Canada

Glostrup, , Denmark

Münster, , Germany

Győr, , Hungary

Rome, Roma, Italy

Krakow, Malopolskie, Poland

Krakow, , Poland

Warszawa, , Poland

Bucharest, , Romania

Ankara, , Turkey

West Hollywood, California, United States

Lutherville, Maryland, United States

Ozark, Missouri, United States

Cullman, Alabama, United States

Fort Collins, Colorado, United States

Tampa, Florida, United States

Lviv, , Ukraine

Lviv, , Ukraine

Vienna, Virginia, United States

Milwaukee, Wisconsin, United States

Quebec, , Canada

Shanghai, , China

Kyoto Shi, Kyoto, Japan

Samsun, , Turkey

San Antonio, Texas, United States

Saint Louis, Missouri, United States

Springfield, Illinois, United States

Saint Louis, Missouri, United States

Las Vegas, Nevada, United States

Columbus, Ohio, United States

Salt Lake City, Utah, United States

Santiago, Reg Metropolitana De Santiago, Chile

Beijing, , China

Changchun, , China

Zefat, , Israel

Kocaeli, , Turkey

Mersin, , Turkey

Birmingham, Alabama, United States

Cullman, Alabama, United States

Phoenix, Arizona, United States

Scottsdale, Arizona, United States

Scottsdale, Arizona, United States

Carlsbad, California, United States

Irvine, California, United States

West Hollywood, California, United States

Aurora, Colorado, United States

Fort Collins, Colorado, United States

Washington, District Of Columbia, United States

Tampa, Florida, United States

West Palm Beach, Florida, United States

Savannah, Georgia, United States

Evanston, Illinois, United States

Overland Park, Kansas, United States

Louisville, Kentucky, United States

New Orleans, Louisiana, United States

Detroit, Michigan, United States

Rochester Hills, Michigan, United States

Columbus, Ohio, United States

Buenos Aires, , Argentina

Overpelt, , Belgium

Porto Alegre, Rio Grande Do Sul, Brazil

Jiazhuang, , China

Jinan, , China

Wenzhou, , China

Xi An, , China

Brno, , Czechia

Hradec Kralove, , Czechia

Nice, , France

Saint Herblain, , France

Ioannina, , Greece

Larissa, , Greece

Thessaloniki, , Greece

Koriyama, Fukushima, Japan

Asahikawa, Hokkaido, Japan

Sapporo, Hokkaido, Japan

Morioka, Iwate, Japan

Sagamihara, Kanagawa, Japan

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Bydgoszcz, Kujawsko Pomorskie, Poland

Katowice, Slaskie, Poland

Zabrze, , Poland

Guimarã£Es, , Portugal

Câmpulung, , Romania

Samsun, , Turkey

Scottsdale, Arizona, United States

Maitland, Florida, United States

Overland Park, Kansas, United States

Dallas, Texas, United States

San Antonio, Texas, United States

Sherman, Texas, United States

Salt Lake City, Utah, United States

Vienna, Virginia, United States

Philadelphia, Pennsylvania, United States

Springfield, Illinois, United States

Iowa City, Iowa, United States

Kansas City, Kansas, United States

Buenos Aires, Ciudad De Buenos Aires, Argentina

Buenos Aires, Ciudad De Buenos Aires, Argentina

Grenoble, , France

Florence, Firenze, Italy

Sofia, , Bulgaria

Prague, , Czechia

Safed, , Israel

Tachikawa, Tokyo, Japan

Boston, Massachusetts, United States

Las Vegas, Nevada, United States

Bronx, New York, United States

Dayton, Ohio, United States

Hershey, Pennsylvania, United States

Greer, South Carolina, United States

Buenos Aires, , Argentina

Salvador, Bahia, Brazil

Joinville, Santa Catarina, Brazil

São Paulo, , Brazil

Pleven, , Bulgaria

Sha Tin, , Hong Kong

Budapest, , Hungary

Novara, , Italy

Higashimatsuyama, Saitama, Japan

Reno, Nevada, United States

Lebanon, New Hampshire, United States

New Brunswick, New Jersey, United States

Albuquerque, New Mexico, United States

Raleigh, North Carolina, United States

Winston Salem, North Carolina, United States

Fargo, North Dakota, United States

Columbus, Ohio, United States

Sofia, , Bulgaria

Edmonton, Alberta, Canada

Lévis, Quebec, Canada

Guangzhou, , China

Harbin, , China

Pozzilli, Isernia, Italy

Milan, Milano, Italy

Rome, Roma, Italy

Palermo, , Italy

Verona, , Italy

Tokyo, , Japan

Tokyo, , Japan

Tokyo, , Japan

Seongnam Si, Gyeonggi Do, Korea, Republic Of

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Seville, Andalucia, Spain

Barcelona, Barcelona [Barcelona], Spain

Pozuelo De Alarcón, Madrid, Spain

Pontevedra, , Spain

Akdeniz, , Turkey

Istanbul, , Turkey

Izmit, , Turkey

Konya, , Turkey

Santiago, Reg Metropolitana De Santiago, Chile

Beijing, , China

Beijing, , China

Cincinnati, Ohio, United States

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Kayseri, , Turkey

Fargo, North Dakota, United States

Columbus, Ohio, United States

Caba, Buenos Aires, Argentina

Bursa, , Turkey

Eskişehir, , Turkey

Istanbul, , Turkey

Pittsburgh, Pennsylvania, United States

Seattle, Washington, United States

Milwaukee, Wisconsin, United States

Düsseldorf, , Germany

Pécs, , Hungary

Orbassano, Torino, Italy

Laguna Hills, California, United States

Boca Raton, Florida, United States

Orlando, Florida, United States

Kansas City, Kansas, United States

New Orleans, Louisiana, United States

Boston, Massachusetts, United States

Detroit, Michigan, United States

Lebanon, New Hampshire, United States

Greenville, South Carolina, United States

Dallas, Texas, United States

Sao Paulo, São Paulo, Brazil

Sao Paulo, São Paulo, Brazil

Guangzhou, , China

Xi'an, , China

Asahikawa Shi, Hokkaido, Japan

Higashimatsuyama Shi, Saitama, Japan

Meguro Ku, Tokyo, Japan

Tachikawa Shi, Tokyo, Japan

Pretoria, , South Africa

Istanbul, , Turkey

Beijing, , China

Quebec City, Quebec, Canada

Santiago, Reg Metropolitana De Santiago, Chile

Changsha, , China

Istanbul, , Turkey

Izmir, , Turkey

Boca Raton, Florida, United States

Pittsburgh, Pennsylvania, United States

Caba, Ciudad De Buenos Aires, Argentina

Pelt, , Belgium

Sao Paulo, São Paulo, Brazil

Beijing, , China

Hohhot, , China

Jihlava, , Czechia

Pardubice, , Czechia

Zlin, , Czechia

Shinjuku Ku, Tokyo, Japan

Barcelona, Barcelona [Barcelona], Spain

Las Palmas De Gran Canaria, Las Palmas, Spain

Pozuelo De Alarcon, Madrid, Spain

Córdoba, , Spain

Madrid, , Spain

Málaga, , Spain

Seoul, Seoul Teukbyeolsi, Korea, Republic Of

Santiago, Reg Metropolitana De Santiago, Chile

Santiago, Reg Metropolitana De Santiago, Chile

Fuzhou, , China

Guangzhou, , China

Cape Town, , South Africa

Bern, , Switzerland

Boca Raton, Florida, United States

Maitland, Florida, United States

Wien, , Austria

Valladolid, , Spain

Chernivtsi, , Ukraine

Altamonte Springs, Florida, United States

Jacksonville, Florida, United States

Boston, Massachusetts, United States

Saint Louis, Missouri, United States

Winston Salem, North Carolina, United States

Cincinnati, Ohio, United States

Portland, Oregon, United States

Pittsburgh, Pennsylvania, United States

Ciudad De Córdoba, , Argentina

Vienna, , Austria

Goiânia, , Brazil

Belo Horizonte, Minas Gerais, Brazil

Curitiba, , Brazil

Santo André, , Brazil

São Paulo, , Brazil

Zlín, , Czechia

Ramat Gan, , Israel

Modena, , Italy

Kyoto, , Japan

Lodz, , Poland

Barcelona, , Spain

Fort Wayne, Indiana, United States

Rochester Hills, Michigan, United States

Columbus, Ohio, United States

Pittsburgh, Pennsylvania, United States

Milan, Milano, Italy

Orbassano, Torino, Italy

Cuneo, , Italy

Firenze, , Italy

Foggia, , Italy

Napoli, , Italy

Palermo, , Italy

Parma, , Italy

Murcia, Almería, Spain

Pazardzhik, , Bulgaria

Sofia, , Bulgaria

Vancouver, British Columbia, Canada

Lévis, Quebec, Canada

Santiago, Reg Metropolitana De Santiago, Chile

Shanghai, , China

Jihlava, , Czechia

Pardubice, , Czechia

La Tronche, , France

Shimla, , India

Pontevedra, Pontevedra [Pontevedra], Spain

Madrid, , Spain

Madrid, , Spain

Bursa, , Turkey

Istanbul, , Turkey

London, England, United Kingdom

Salford, Manchester, United Kingdom

Inverness, , United Kingdom

Lille, , France

Bielefeld, , Germany

Essen, , Germany

Jena, , Germany

Ulm, , Germany

Budapest, , Hungary

Hyderabad, , India

Barakaldo, Pais Vasco, Spain

Seville, Sevilla, Spain

Bratislava, , Slovakia

Pretoria, , South Africa

Barcelona, , Spain

Newport Beach, California, United States

Miami Lakes, Florida, United States

Springfield, Oregon, United States

El Paso, Texas, United States

Houston, Texas, United States

San Antonio, Texas, United States

Salvador, Bahia, Brazil

Porto Alegre, Rio Grande Do Sul, Brazil

Sã£O Paulo, , Brazil

Berlin, , Germany

Dresden, , Germany

Erbach, , Germany

Patients applied

0 patients applied

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported