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Dose-finding Study for SAR442168 in Relapsing Multiple Sclerosis

Primary Purpose

Relapsing Multiple Sclerosis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
SAR442168
Placebo
Locally approved intravenous contrast medium for contrast enhanced magnetic resonance imaging (MRI)
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsing Multiple Sclerosis

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent.
  • Participant was diagnosed with relapsing multiple sclerosis (RMS) according to the 2017 revision of the McDonald diagnostic criteria.
  • Participant must had at least 1 documented relapse within the previous year, OR greater than or equal to (>=) 2 documented relapses within the previous 2 years, OR >=1 active Gadolinium (Gd) enhancing brain lesion on an MRI scan in the past 6 months and prior to screening.
  • A female participant must had used a double contraception method including a highly effective method of birth control from inclusion and up to 2 months after the last study dose, except if she had undergone sterilization at least 3 months earlier or was postmenopausal. Menopause was defined as being amenorrheic for >=12 months with serum follicle-stimulating hormone (FSH) level greater than (>) 30 International Units per liters.
  • Male participants, whose partners were of childbearing potential (including breastfeeding women), must had accepted to use, during sexual intercourse, a double contraceptive method according to the following algorithm: (condom) plus (intrauterine device or hormonal contraceptive) from inclusion up to 3 months after the last dose.
  • Male participants whose partners were pregnant must had used, during sexual intercourse, a condom from inclusion up to 3 months after the last dose.
  • Male participants had agreed not to donate sperm from the inclusion up to 3 months after the last dose.
  • Participant had given written informed consent prior to undertaking any study-related procedure.

Exclusion criteria:

  • The participant had been diagnosed with primary progressive multiple sclerosis according to the 2017 revision of the McDonald diagnostic criteria or with non relapsing secondary progressive multiple sclerosis.
  • Requirement for concomitant treatment that could bias the primary evaluation.
  • Contraindication for MRI.
  • Contraindications to use MRI Gd contrast-enhancing preparations.
  • History of infection with the human immunodeficiency virus (HIV).
  • History of active or latent tuberculosis.
  • Any other active infections that would adversely affect participation or investigational medicinal product administration in this study, as judged by the Investigator.
  • Presence of any screening laboratory or electrocardiogram values outside normal limits that were considered in the Investigator's judgment to be clinically significant.
  • Presence of liver injury.
  • At screening, the participant was positive for hepatitis B surface antigen and/or hepatitis B core antibody and/or was positive for hepatitis C antibody.
  • Bleeding disorder or known platelet dysfunction at any time prior to screening visit.
  • Participant had received any live (attenuated) vaccine (including but not limited to varicella zoster, oral polio, and nasal influenza) within 2 months before first treatment visit.
  • Participant was receiving strong inducers or inhibitors of cytochrome P450 3A (CYP3A) or CYP2C8 hepatic enzymes.
  • Participant was receiving anticoagulant/antiplatelet therapies.
  • Participant had taken other investigational drugs within 3 months or 5 half lives, whichever was longer, before screening visit.
  • Participant had an Expanded Disability Status Scale score >5.5 at first screening visit.
  • Participant had a relapse in the 30 days prior to randomization.
  • Participant was pregnant or a breastfeeding woman.
  • History or presence of significant other concomitant illness.
  • The participant had received medications/treatments for multiple sclerosis within a specified time frame.

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

Sites / Locations

  • Investigational Site Number 8400005
  • Investigational Site Number 8400002
  • Investigational Site Number 8400004
  • Investigational Site Number 8400009
  • Investigational Site Number 8400007
  • Investigational Site Number 8400001
  • Investigational Site Number 8400008
  • Investigational Site Number 8400006
  • Investigational Site Number 8400003
  • Investigational Site Number 1240002
  • Investigational Site Number 1240001
  • Investigational Site Number 1240003
  • Investigational Site Number 2030007
  • Investigational Site Number 2030004
  • Investigational Site Number 2030003
  • Investigational Site Number 2030005
  • Investigational Site Number 2030006
  • Investigational Site Number 2030001
  • Investigational Site Number 2030002
  • Investigational Site Number 2330001
  • Investigational Site Number 2500004
  • Investigational Site Number 2500001
  • Investigational Site Number 2500002
  • Investigational Site Number 2500003
  • Investigational Site Number 5280001
  • Investigational Site Number 5280002
  • Investigational Site Number 6430006
  • Investigational Site Number 6430003
  • Investigational Site Number 6430002
  • Investigational Site Number 6430001
  • Investigational Site Number 6430005
  • Investigational Site Number 6430004
  • Investigational Site Number 6430007
  • Investigational Site Number 7030001
  • Investigational Site Number 7030002
  • Investigational Site Number 7240006
  • Investigational Site Number 7240002
  • Investigational Site Number 7240001
  • Investigational Site Number 7240004
  • Investigational Site Number 7240005
  • Investigational Site Number 7240003
  • Investigational Site Number 8040002
  • Investigational Site Number 8040005
  • Investigational Site Number 8040001
  • Investigational Site Number 8040006
  • Investigational Site Number 8040009
  • Investigational Site Number 8040003
  • Investigational Site Number 8040007

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1: SAR442168 5 mg Then Placebo

Cohort 1: SAR442168 15 mg Then Placebo

Cohort 1: SAR442168 30 mg Then Placebo

Cohort 1: SAR442168 60 mg Then Placebo

Cohort 2: Placebo Then SAR442168 5 mg

Cohort 2: Placebo Then SAR442168 15 mg

Cohort 2: Placebo Then SAR442168 30 mg

Cohort 2: Placebo Then SAR442168 60 mg

Arm Description

Participants received SAR442168 5 milligrams (mg), orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received SAR442168 15 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received SAR442168 30 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received SAR442168 60 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 5 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 15 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 30 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 60 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.

Outcomes

Primary Outcome Measures

Brain Magnetic Resonance Imaging (MRI) Assessment: Number of New Gadolinium (Gd) Enhancing T1-hyperintense Lesions
Number of new Gd-enhancing T1-hyperintense lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants). Data was planned to be collected and analyzed on pooled population of participants at each dose level of SAR442168 (either in Cohort 1 and 2) and pooled population of participants receiving placebo in Cohort 2 and was not planned to collected during placebo administration in Cohort 1 (Weeks 12 to 16).

Secondary Outcome Measures

Number of New or Enlarging T2 Lesions
Number of new and enlarging T2 lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants).
Total Number of Gd-enhancing T1-hyperintense Lesions
Total number of Gd-enhancing T1-hyperintense lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants).
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs): Weeks 1-4 Period
Adverse event (AE) was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with use of study drug. Serious AE (SAE) was defined as any untoward medical occurrence that, at any dose resulted in death, life-threatening, inpatient hospitalization or prolongation of existing hospitalization, disability/incapacity, congenital anomaly/birth defect, or medical event. TEAEs were defined as AEs (serious/non-serious) that developed, worsened, or became serious during on-treatment period (for this outcome measure- "Weeks 1 to 4 period": time from 1st administration of study drug to Week 4). Cohorts 1 and 2 received SAR442168 and placebo for first 4 weeks, respectively.
Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events: SAR442168 Treatment Period
AE was defined as any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of study drug. SAE was defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, persistent disability/incapacity, congenital anomaly/birth defect, or medical event. TEAEs: AEs that developed, worsened, or became serious during on-treatment period (for this outcome measure defined as "SAR442168 treatment period" which was considered as Weeks 1 to 12 for Cohort 1 and Weeks 4 to 16 for Cohort 2).
Number of Participants With Individual Clinically Relevant Abnormalities in Laboratory Tests (Hematology, Chemistry, Urinalysis), Vital Signs, and Electrocardiograms (ECG)
Individual clinically relevant abnormalities was defined as potentially clinically significant abnormalities (PCSA) considered as SAEs or TEAEs leading to study treatment discontinuation or study discontinuation during the on-treatment period (time from first study drug administration until Week 16), considering all evaluations performed during the on-treatment period that included unscheduled or repeated evaluations.

Full Information

First Posted
March 1, 2019
Last Updated
March 7, 2023
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT03889639
Brief Title
Dose-finding Study for SAR442168 in Relapsing Multiple Sclerosis
Official Title
A Phase 2b Dose-finding Study for SAR442168, a Bruton's Tyrosine Kinase Inhibitor, in Participants With Relapsing Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
March 29, 2019 (Actual)
Primary Completion Date
January 2, 2020 (Actual)
Study Completion Date
January 2, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary Objective: To determine the dose-response relationship for SAR442168 to reduce the number of new active brain lesions. Secondary Objectives: To evaluate efficacy of SAR442168 on disease activity as assessed by imaging measures. To evaluate the safety and tolerability of SAR442168.
Detailed Description
The total study duration was 24 weeks which included a screening period of 4 weeks, a treatment period of 16 weeks, and a follow-up period of up to 4 weeks. Participants who completed the Week 16 visit were proposed to be enrolled in a long-term extension safety and efficacy study to assess safety, tolerability and efficacy of SAR442168.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsing Multiple Sclerosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
130 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: SAR442168 5 mg Then Placebo
Arm Type
Experimental
Arm Description
Participants received SAR442168 5 milligrams (mg), orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 1: SAR442168 15 mg Then Placebo
Arm Type
Experimental
Arm Description
Participants received SAR442168 15 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 1: SAR442168 30 mg Then Placebo
Arm Type
Experimental
Arm Description
Participants received SAR442168 30 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 1: SAR442168 60 mg Then Placebo
Arm Type
Experimental
Arm Description
Participants received SAR442168 60 mg, orally once daily for first 12 weeks then crossed over to matching placebo orally once daily for 4 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 2: Placebo Then SAR442168 5 mg
Arm Type
Experimental
Arm Description
Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 5 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 2: Placebo Then SAR442168 15 mg
Arm Type
Experimental
Arm Description
Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 15 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 2: Placebo Then SAR442168 30 mg
Arm Type
Experimental
Arm Description
Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 30 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Arm Title
Cohort 2: Placebo Then SAR442168 60 mg
Arm Type
Experimental
Arm Description
Participants received placebo matching to SAR442168 tablets, orally once daily for first 4 weeks then crossed over to SAR442168 60 mg orally once daily for 12 weeks during the 16 weeks treatment period. To maintain the blinding, each participant was given a total of 4 tablets daily, either of SAR442168 or SAR442168 and placebo, to achieve the specified daily dose of SAR442168.
Intervention Type
Drug
Intervention Name(s)
SAR442168
Intervention Description
Pharmaceutical form: Film coated tablet; Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Pharmaceutical form: Film coated tablet; Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Locally approved intravenous contrast medium for contrast enhanced magnetic resonance imaging (MRI)
Intervention Description
Pharmaceutical form: Solution for injection; Route of administration: Intravenous
Primary Outcome Measure Information:
Title
Brain Magnetic Resonance Imaging (MRI) Assessment: Number of New Gadolinium (Gd) Enhancing T1-hyperintense Lesions
Description
Number of new Gd-enhancing T1-hyperintense lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants). Data was planned to be collected and analyzed on pooled population of participants at each dose level of SAR442168 (either in Cohort 1 and 2) and pooled population of participants receiving placebo in Cohort 2 and was not planned to collected during placebo administration in Cohort 1 (Weeks 12 to 16).
Time Frame
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants) and at Week 4 for Cohort 2 placebo
Secondary Outcome Measure Information:
Title
Number of New or Enlarging T2 Lesions
Description
Number of new and enlarging T2 lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants).
Time Frame
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants), and at Week 4 for Cohort 2 placebo
Title
Total Number of Gd-enhancing T1-hyperintense Lesions
Description
Total number of Gd-enhancing T1-hyperintense lesions was detected by brain MRI at the end of 12 weeks of SAR442168 treatment (i.e., at Week 12 for Cohort 1 participants and Week 16 for Cohort 2 participants).
Time Frame
After 12 weeks of SAR442168 treatment for SAR442168 reporting arms (i.e., at Week 12 for Cohort 1 participants, at Week 16 for Cohort 2 participants), and at Week 4 for Cohort 2 placebo
Title
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs): Weeks 1-4 Period
Description
Adverse event (AE) was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with use of study drug. Serious AE (SAE) was defined as any untoward medical occurrence that, at any dose resulted in death, life-threatening, inpatient hospitalization or prolongation of existing hospitalization, disability/incapacity, congenital anomaly/birth defect, or medical event. TEAEs were defined as AEs (serious/non-serious) that developed, worsened, or became serious during on-treatment period (for this outcome measure- "Weeks 1 to 4 period": time from 1st administration of study drug to Week 4). Cohorts 1 and 2 received SAR442168 and placebo for first 4 weeks, respectively.
Time Frame
From Baseline up to Week 4
Title
Number of Participants With Treatment-emergent Adverse Events and Treatment-emergent Serious Adverse Events: SAR442168 Treatment Period
Description
AE was defined as any unfavorable and unintended sign (including abnormal laboratory finding), symptom, or disease temporally associated with use of study drug. SAE was defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, persistent disability/incapacity, congenital anomaly/birth defect, or medical event. TEAEs: AEs that developed, worsened, or became serious during on-treatment period (for this outcome measure defined as "SAR442168 treatment period" which was considered as Weeks 1 to 12 for Cohort 1 and Weeks 4 to 16 for Cohort 2).
Time Frame
Weeks 1 to 12 for Cohort 1 participants and Weeks 4 to 16 for Cohort 2 participants
Title
Number of Participants With Individual Clinically Relevant Abnormalities in Laboratory Tests (Hematology, Chemistry, Urinalysis), Vital Signs, and Electrocardiograms (ECG)
Description
Individual clinically relevant abnormalities was defined as potentially clinically significant abnormalities (PCSA) considered as SAEs or TEAEs leading to study treatment discontinuation or study discontinuation during the on-treatment period (time from first study drug administration until Week 16), considering all evaluations performed during the on-treatment period that included unscheduled or repeated evaluations.
Time Frame
Baseline up to Week 12 for Cohort 1 participants; Baseline up to Week 4 for Cohort 2 Placebo and from Weeks 4 to 16 for Cohort 2 SAR442168 receiving participants

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Participant must be 18 to 55 years of age, inclusive, at the time of signing the informed consent. Participant was diagnosed with relapsing multiple sclerosis (RMS) according to the 2017 revision of the McDonald diagnostic criteria. Participant must had at least 1 documented relapse within the previous year, OR greater than or equal to (>=) 2 documented relapses within the previous 2 years, OR >=1 active Gadolinium (Gd) enhancing brain lesion on an MRI scan in the past 6 months and prior to screening. A female participant must had used a double contraception method including a highly effective method of birth control from inclusion and up to 2 months after the last study dose, except if she had undergone sterilization at least 3 months earlier or was postmenopausal. Menopause was defined as being amenorrheic for >=12 months with serum follicle-stimulating hormone (FSH) level greater than (>) 30 International Units per liters. Male participants, whose partners were of childbearing potential (including breastfeeding women), must had accepted to use, during sexual intercourse, a double contraceptive method according to the following algorithm: (condom) plus (intrauterine device or hormonal contraceptive) from inclusion up to 3 months after the last dose. Male participants whose partners were pregnant must had used, during sexual intercourse, a condom from inclusion up to 3 months after the last dose. Male participants had agreed not to donate sperm from the inclusion up to 3 months after the last dose. Participant had given written informed consent prior to undertaking any study-related procedure. Exclusion criteria: The participant had been diagnosed with primary progressive multiple sclerosis according to the 2017 revision of the McDonald diagnostic criteria or with non relapsing secondary progressive multiple sclerosis. Requirement for concomitant treatment that could bias the primary evaluation. Contraindication for MRI. Contraindications to use MRI Gd contrast-enhancing preparations. History of infection with the human immunodeficiency virus (HIV). History of active or latent tuberculosis. Any other active infections that would adversely affect participation or investigational medicinal product administration in this study, as judged by the Investigator. Presence of any screening laboratory or electrocardiogram values outside normal limits that were considered in the Investigator's judgment to be clinically significant. Presence of liver injury. At screening, the participant was positive for hepatitis B surface antigen and/or hepatitis B core antibody and/or was positive for hepatitis C antibody. Bleeding disorder or known platelet dysfunction at any time prior to screening visit. Participant had received any live (attenuated) vaccine (including but not limited to varicella zoster, oral polio, and nasal influenza) within 2 months before first treatment visit. Participant was receiving strong inducers or inhibitors of cytochrome P450 3A (CYP3A) or CYP2C8 hepatic enzymes. Participant was receiving anticoagulant/antiplatelet therapies. Participant had taken other investigational drugs within 3 months or 5 half lives, whichever was longer, before screening visit. Participant had an Expanded Disability Status Scale score >5.5 at first screening visit. Participant had a relapse in the 30 days prior to randomization. Participant was pregnant or a breastfeeding woman. History or presence of significant other concomitant illness. The participant had received medications/treatments for multiple sclerosis within a specified time frame. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 8400005
City
Cullman
State/Province
Alabama
ZIP/Postal Code
35058
Country
United States
Facility Name
Investigational Site Number 8400002
City
Maitland
State/Province
Florida
ZIP/Postal Code
32761
Country
United States
Facility Name
Investigational Site Number 8400004
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33351
Country
United States
Facility Name
Investigational Site Number 8400009
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Investigational Site Number 8400007
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Investigational Site Number 8400001
City
Northbrook
State/Province
Illinois
ZIP/Postal Code
60062
Country
United States
Facility Name
Investigational Site Number 8400008
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
Investigational Site Number 8400006
City
Westerville
State/Province
Ohio
ZIP/Postal Code
43081
Country
United States
Facility Name
Investigational Site Number 8400003
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37922
Country
United States
Facility Name
Investigational Site Number 1240002
City
Gatineau
ZIP/Postal Code
J8Y 1W2
Country
Canada
Facility Name
Investigational Site Number 1240001
City
Greenfield Park
ZIP/Postal Code
J4V 2J2
Country
Canada
Facility Name
Investigational Site Number 1240003
City
Vancouver
ZIP/Postal Code
V6T 2B5
Country
Canada
Facility Name
Investigational Site Number 2030007
City
Brno
ZIP/Postal Code
62500
Country
Czechia
Facility Name
Investigational Site Number 2030004
City
Hradec Kralove
ZIP/Postal Code
50005
Country
Czechia
Facility Name
Investigational Site Number 2030003
City
Jihlava
ZIP/Postal Code
58633
Country
Czechia
Facility Name
Investigational Site Number 2030005
City
Ostrava - Poruba
ZIP/Postal Code
70852
Country
Czechia
Facility Name
Investigational Site Number 2030006
City
Pardubice
ZIP/Postal Code
53203
Country
Czechia
Facility Name
Investigational Site Number 2030001
City
Praha 2
ZIP/Postal Code
12808
Country
Czechia
Facility Name
Investigational Site Number 2030002
City
Praha 5 - Motol
ZIP/Postal Code
15006
Country
Czechia
Facility Name
Investigational Site Number 2330001
City
Tallinn
ZIP/Postal Code
11315
Country
Estonia
Facility Name
Investigational Site Number 2500004
City
Nancy Cedex
ZIP/Postal Code
54035
Country
France
Facility Name
Investigational Site Number 2500001
City
Nantes Cedex 1
ZIP/Postal Code
44093
Country
France
Facility Name
Investigational Site Number 2500002
City
Strasbourg Cedex
ZIP/Postal Code
67098
Country
France
Facility Name
Investigational Site Number 2500003
City
Toulouse Cedex 9
ZIP/Postal Code
31059
Country
France
Facility Name
Investigational Site Number 5280001
City
Amsterdam
ZIP/Postal Code
1081 HV
Country
Netherlands
Facility Name
Investigational Site Number 5280002
City
Sittard-Geleen
ZIP/Postal Code
6162 BG
Country
Netherlands
Facility Name
Investigational Site Number 6430006
City
Kazan
ZIP/Postal Code
420021
Country
Russian Federation
Facility Name
Investigational Site Number 6430003
City
Moscow
ZIP/Postal Code
125367
Country
Russian Federation
Facility Name
Investigational Site Number 6430002
City
Moscow
ZIP/Postal Code
127015
Country
Russian Federation
Facility Name
Investigational Site Number 6430001
City
Saint-Petersburg
ZIP/Postal Code
197110
Country
Russian Federation
Facility Name
Investigational Site Number 6430005
City
St-Petersburg
ZIP/Postal Code
194044
Country
Russian Federation
Facility Name
Investigational Site Number 6430004
City
St-Petersburg
ZIP/Postal Code
197022
Country
Russian Federation
Facility Name
Investigational Site Number 6430007
City
Tyumen
ZIP/Postal Code
625000
Country
Russian Federation
Facility Name
Investigational Site Number 7030001
City
Bratislava
ZIP/Postal Code
82606
Country
Slovakia
Facility Name
Investigational Site Number 7030002
City
Martin
ZIP/Postal Code
03659
Country
Slovakia
Facility Name
Investigational Site Number 7240006
City
Barakaldo
ZIP/Postal Code
48903
Country
Spain
Facility Name
Investigational Site Number 7240002
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Investigational Site Number 7240001
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Investigational Site Number 7240004
City
Murcia
ZIP/Postal Code
30120
Country
Spain
Facility Name
Investigational Site Number 7240005
City
Salt
ZIP/Postal Code
17190
Country
Spain
Facility Name
Investigational Site Number 7240003
City
Sevilla
ZIP/Postal Code
41071
Country
Spain
Facility Name
Investigational Site Number 8040002
City
Chernivtsi
ZIP/Postal Code
58018
Country
Ukraine
Facility Name
Investigational Site Number 8040005
City
Dnipro
ZIP/Postal Code
49005
Country
Ukraine
Facility Name
Investigational Site Number 8040001
City
Lviv
ZIP/Postal Code
79010
Country
Ukraine
Facility Name
Investigational Site Number 8040006
City
Lviv
ZIP/Postal Code
79013
Country
Ukraine
Facility Name
Investigational Site Number 8040009
City
Odesa
ZIP/Postal Code
65025
Country
Ukraine
Facility Name
Investigational Site Number 8040003
City
Vinnytsya
ZIP/Postal Code
21005
Country
Ukraine
Facility Name
Investigational Site Number 8040007
City
Zhytomyr
ZIP/Postal Code
10002
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
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
Citations:
PubMed Identifier
34418400
Citation
Reich DS, Arnold DL, Vermersch P, Bar-Or A, Fox RJ, Matta A, Turner T, Wallstrom E, Zhang X, Mares M, Khabirov FA, Traboulsee A; Tolebrutinib Phase 2b Study Group. Safety and efficacy of tolebrutinib, an oral brain-penetrant BTK inhibitor, in relapsing multiple sclerosis: a phase 2b, randomised, double-blind, placebo-controlled trial. Lancet Neurol. 2021 Sep;20(9):729-738. doi: 10.1016/S1474-4422(21)00237-4.
Results Reference
derived

Learn more about this trial

Dose-finding Study for SAR442168 in Relapsing Multiple Sclerosis

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