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TerminatedNCT04802057Updated Sep 11, 2025

Safety and Tolerability Study in Adults With Cold Agglutinin Disease Previously Treated With SAR445088 or Never Treated With SAR445088

A Phase 1 interventional study of SAR445088 in Autoimmune Haemolytic Anaemia, sponsored by Bioverativ, a Sanofi company. Terminated at 5 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Bioverativ, a Sanofi company (part of Sanofi) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2025, 1 year 7 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objective:

To assess the long-term safety and tolerability in patients with cold agglutinin disease (CAD), after multiple doses of SAR445088

Secondary Objective:

To assess, in patients with cold agglutinin disease (CAD), after multiple doses of SAR445088:

  • The long-term effect of SAR445088 on complement mediated hemolysis
  • The long-term pharmacodynamics (PD) effect of SAR445088 relating to complement inhibition
  • The long-term pharmacokinetic (PK) profile of SAR445088
  • The long-term immunogenicity of SAR445088
Read the detailed description

The screening period for this study is up to 6 weeks. The treatment period for this study will continue for 2 years after last participant entered Part 2 (either having switched from Part 1 or as a SAR445088-naïve participant), or until SAR445088 development is discontinued, whichever comes first.

02

Conditions studied

  • Autoimmune Haemolytic Anaemia
03

In context

Anemia, Hemolytic, Autoimmune

97 studies on the registry are indexed under Anemia, Hemolytic, Autoimmune; 42 are open to participants now.

This study's enrollment of 9 is below the median of 24 across 73 interventional studies indexed under Anemia, Hemolytic, Autoimmune.

Browse Anemia, Hemolytic, Autoimmune studies →

Lead sponsor

Bioverativ, a Sanofi company is the lead sponsor of 16 studies on the registry; none are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 7 (58%) have results posted.

First submitted after Bioverativ became part of Sanofi.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female adult patients ≥18 years of age with CAD who were previously treated with SAR445088 and met criteria the below criteria for entry into Part 1:

    • met the eligibility criteria of a previous study evaluating SAR445088;
    • successfully enrolled and completed dosing in a previous study evaluating SAR445088;
    • successfully completed end of study procedures in a previous study evaluating SAR445088; and
    • per Investigator judgement, had a favorable benefit-to-risk profile after receiving SAR445088.
  • OR were never treated with SAR445088 before entering Part 2, and met the below criteria to establish CAD diagnosis:

    • chronic hemolysis;
    • polyspecific direct antiglobulin test (DAT) positive status;
    • monospecific DAT strongly positive for C3d;
    • cold agglutinin [CAg] titer ≥64 at 4°C;
    • IgG DAT ≤1+;
    • hemoglobin level ≤10 g/dL;
    • elevated bilirubin not attributable to liver disease;
  • Documented vaccinations against encapsulated bacterial pathogens given within five years of enrollment and at least 14 days prior to dosing (vaccinations have to be initiated at least 14 days prior to dosing and completed before Week 5 of Part 2).
  • Contraception (with double contraception methods) for male and female participants; not pregnant or breastfeeding for female participants; no sperm donation for male participants.
  • Having given written informed consent prior to undertaking any study-related procedure.

Exclusion criteria

Exclusion Criteria:

  • Cold agglutinin syndrome secondary to infection, rheumatologic disease, or known high-grade hematologic malignancy, or known solid organ tumor.
  • Clinically relevant infection within 1 month of enrollment.
  • Clinical diagnosis of systemic lupus erythematosus (SLE).
  • Treatment with anti-CD20 monotherapy within 3 months or anti-CD20 combination therapies within 6 months prior to screening.
  • Concurrent treatment with systemic immunosuppressive agents targeting B- or T-cell function and/or cytotoxic agents within 3 months prior to screening. Concurrent treatment with other systemic immunosuppressants within 5.5 half-lives of the drug prior to screening.
  • Any specific complement system inhibitor other than SAR445088 (eg, eculizumab) within 3 months prior to screening.
  • Concurrent treatment with systemic corticosteroids other than a stable daily dose equivalent to ≤10 mg/day prednisone within 3 months prior to screening.
  • History of hypersensitivity to SAR445088 or any of its components.

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

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    SAR445088

    Repeat dose of SAR445088

    Drug: SAR445088

Interventions

  • DrugSAR445088

    Pharmaceutical form: solution for injection Route of administration: IV and SC (Part 1) IV (Part 2)

06

What researchers measure

Primary outcomes

  1. Number of participants with treatment-emergent adverse events (TEAE)

    The number of participants experiencing TEAEs will be reported for the overall safety population.

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

Secondary outcomes

  1. Mean change from baseline in total bilirubin over time

    Assessment of total bilirubin

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  2. Mean change from baseline in hemoglobin over time

    Assessment of hemoglobin

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  3. Mean change from baseline in lactate dehydrogenase over time

    Assessment of lactate dehydrogenase

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  4. Mean change from baseline in reticulocyte count over time

    Assessment of reticulocyte count

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  5. Complement System Classical Pathway Levels as Measured by WIESLAB Assay

    Inhibition by SAR445088 of the complement system classical pathway measured by the WIESLAB assay.

    Time frame: Day 1 or Day 1-IV to Week 48-IV

  6. Complement System Alternative Pathway Levels as Measured by WIESLAB Assay

    Part 1: Effect of SAR445088 on the complement system alternative pathway measured by the WIESLAB assay.

    Time frame: Day 1 to Week 24

  7. Mean change in CH50 over time

    Complement CH50 is a blood test that helps us determine whether protein abnormalities and deficiencies in the complement system are responsible for any increase in autoimmune activity. It will be assessed using complement assays.

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  8. Total Complement Factor C4 Levels

    Total C4 Levels will be assessed in plasma using complement assays

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

  9. PK parameter: Cmax

    Maximum observed concentration (Cmax) of SAR445088 in plasma will be assessed

    Time frame: Day 1 or Day 1-IV to Week 48-IV

  10. PK Parameter: AUC

    Area under the plasma concentration versus time curve calculated using the trapezoidal method at steady state

    Time frame: Day 1 or Day 1-IV to Week 48-IV

  11. Number of participants with anti-SAR445088 antibodies

    The immunogenicity for SAR445088 will be assessed by summarizing the number of participants with anti-SAR445088 antibodies (ADA)

    Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years

07

Study locations

5 sites
  • Investigational Site Number : 2760001
    Essen, 45147, Germany
  • Investigational Site Number : 3800001
    Milan, Milano 20122, Italy
  • Investigational Site Number : 5280001
    Amsterdam, 1081 HV, Netherlands
  • Investigational Site Number : 5780001
    Bergen, 5021, Norway
  • Investigational Site Number : 8260001
    London, London, City of NW1 2PG, United Kingdom
08

References and documents

Publications

  • Chow T, Wardecki M, Storek M, Wong N. Confirmation of Fixed Quarterly Riliprubart Regimen in Patients with Cold Agglutinin Disease Using Population PK/PD and Exposure-Response Analyses. Clin Pharmacol Ther. 2025 Aug;118(2):449-458. doi: 10.1002/cpt.3692. Epub 2025 Apr 30. PubMed 40308078 ↗

Individual participant data

Plan to share: Yes — 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

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04802057
Responsible party
Sponsor
First posted
Mar 17, 2021
Start date
Mar 22, 2021
Primary completion
Mar 4, 2025
Completion
Mar 4, 2025
Last update
Sep 11, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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