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Active, not recruitingNCT05156710Updated Aug 21, 2026

BIVV020 (SAR445088) in Prevention and Treatment of Antibody-mediated Rejection (AMR)

A Phase 2 interventional study of BIVV020 (SAR445088) and Intravenous immunoglobulin (IVIg) in Transplant Rejection, sponsored by Sanofi. Active, not recruiting at 27 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Sanofi · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Primary Objectives:

  • Cohort A: To evaluate the efficacy of BIVV020 in prevention of AMR
  • Cohort B: To evaluate the efficacy of BIVV020 in treatment of active AMR

Secondary Objectives:

  • To assess the overall efficacy of BIVV020 in prevention or treatment of AMR
  • To characterize the safety and tolerability of BIVV020 in kidney transplant participants
  • To characterize the pharmacokinetic (PK) profile of BIVV020 in kidney transplant participants
  • To evaluate the immunogenicity of BIVV020
Read the detailed description

Up to approximately 2 years

02

Conditions studied

  • Transplant Rejection
03

In context

Lead sponsor

Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.

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

-Participant intended to receive SOC therapy per Investigator's judgment and local practice.

Cohort A: Participants with chronic kidney disease who will receive a kidney transplant from a living or deceased donor.

Cohort B: Participants who are kidney transplant recipients diagnosed with active AMR.

  • BMI ≤ 40 kg/m2.
  • Contraceptive use by women during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).
  • Contraceptive use by men during the treatment period, and for at least 49 weeks after the last administration of IMP (BIVV020 + SOC arm participant) or last treatment period visit (SOC arm participant).

Exclusion criteria

Exclusion Criteria:

  • Participants who are ABO incompatible with their donors.
  • Participants with known active ongoing infection as per below:

    1. Positive HIV.
    2. Positive HBV.
    3. HCV with detectable HCV RNA.
    4. Within 4 weeks of first study intervention: any serious infection, or any active bacterial infection, or any other infection which is clinically significant in the option of the Investigator, unless it can be confirmed that infection was cleared at least 3 days prior to first study intervention.
  • History of active tuberculosis (TB) regardless of treatment.
  • Participants with clinical diagnosis of systemic lupus erythematosus (SLE).
  • Prior treatment with complement system inhibitor within 5 times the half-life.
  • Current enrollment in any other clinical study where the last investigational study treatment administration was within 5 half-lives from study intervention initiation.

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 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    BIVV020 with Standard of Care (SOC) Cohort A

    Eligible participants will receive BIVV020 and SOC immunosuppression including induction therapy, tacrolimus, and mycophenolate.

    Drug: BIVV020 (SAR445088) · Drug: Antithymocyte globulin (ATG) · Drug: Tacrolimus · Drug: Mycophenolate

  • Experimental
    BIVV020 with Standard of Care (SOC) Cohort B

    Eligible participants will receive BIVV020 and SOC which includes plasmapheresis, IVIg, corticosteroids, rituximab.

    Drug: BIVV020 (SAR445088) · Drug: Intravenous immunoglobulin (IVIg) · Drug: Rituximab or biosimilar · Drug: Corticosteroids

  • Other
    Standard of Care (SOC) Cohort B

    SOC includes plasmapheresis, IVIg, corticosteroids, rituximab.

    Drug: Intravenous immunoglobulin (IVIg) · Drug: Rituximab or biosimilar · Drug: Corticosteroids

Interventions

  • DrugBIVV020 (SAR445088)

    Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

  • DrugIntravenous immunoglobulin (IVIg)

    Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

  • DrugRituximab or biosimilar

    Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

  • DrugAntithymocyte globulin (ATG)

    Pharmaceutical Form: Solution for injection Route of Administration: Intravenous

  • DrugTacrolimus

    Pharmaceutical Form: Tablet Route of Administration: Oral

  • DrugMycophenolate

    Pharmaceutical Form: Tablet Route of Administration: Oral

  • DrugCorticosteroids

    Pharmaceutical Form: Vary Route of Administration: Vary

06

What researchers measure

Primary outcomes

  1. Cohort A: Treatment failure rate

    Defined as the proportion of participants meeting at least one of the following criteria: * Biopsy-proven active AMR as per Banff Criteria 2019 as per central pathology assessment, * Graft loss.

    Time frame: Up to Week 49

  2. Cohort B: AMR resolution rate

    Defined as the proportion of participants with post-treatment biopsy not fulfilling active AMR diagnosis criteria as per Banff Criteria 2019 as per central pathology assessment.

    Time frame: Up to Week 49

Secondary outcomes

  1. Cohort A: Treatment failure rate per local assessment using Banff criteria 2019

    Time frame: Up to Week 49

  2. Cohort B: AMR resolution rate per local assessment using Banff criteria 2019

    Time frame: Up to Week 49

  3. Change in renal function from baseline per central laboratory assessment of estimated glomerular filtration rate (eGFR) from serum creatinine using Modification of Diet in Renal Disease equation (MDRD)

    Time frame: Up to 22 weeks after end of treatment period

  4. Change in renal function from baseline per central laboratory assessment using protein: creatinine ratio

    Time frame: Up to 22 weeks after end of treatment period

  5. Change in allograft histopathology Banff score

    Time frame: Up to Week 49

  6. Graft survival as predicted by iBOX

    Time frame: Up to Week 49

  7. Assessment of adverse events (AEs)

    Number of participants with treatment emergent adverse events (TEAEs)/ serious adverse events (SAES), laboratory abnormalities

    Time frame: Up to end of study, up to approximately 2 years

  8. Change in systemic lupus erythematosus (SLE) panel

    Time frame: Up to 22 weeks after end of treatment period

  9. Plasma exposure of BIVV020 assessing pharmacokinetic parameter Cmin

    Cmin is defined as the minimum concentration after injection

    Time frame: Up to 22 weeks after end of treatment period

  10. Plasma exposure of BIVV020 assessing pharmacokinetic parameter AUC

    AUC is defined as the area under plasma concentration versus time curve

    Time frame: Up to 22 weeks after end of treatment period

  11. Number of participants with anti-BIVV020 antibodies

    Number of participants developed drug-induced ADAs

    Time frame: Up to 22 weeks after end of treatment period

07

Study locations

27 sites
  • Cedars-Sinai Medical Center- Site Number : 8400100
    Los Angeles, California 90048, United States
  • University of California Los Angeles Medical Center- Site Number : 8400103
    Los Angeles, California 90095, United States
  • University of California San Francisco - Parnassus Heights- Site Number : 8400001
    San Francisco, California 94143, United States
  • Massachusetts General Hospital- Site Number : 8400007
    Boston, Massachusetts 02114, United States
  • Brigham & Women's Hospital- Site Number : 8400004
    Boston, Massachusetts 02115, United States
  • NYU Langone Medical Center- Site Number : 8400102
    New York, New York 10016, United States
  • University of Wisconsin Hospitals and Clinics- Site Number : 8400003
    Madison, Wisconsin 53792, United States
  • Investigational Site Number : 1240101
    Vancouver, British Columbia V5Z 1M9, Canada
  • Investigational Site Number : 1240001
    Vancouver, British Columbia V6Z 1Y6, Canada
  • Investigational Site Number : 1240002
    London, Ontario N6A 5A5, Canada
  • Investigational Site Number : 1240003
    Montreal, Quebec H4A 3J1, Canada
  • Investigational Site Number : 2500007
    Bordeaux, 33076, France
  • Investigational Site Number : 2500002
    Créteil, 94010, France
  • Investigational Site Number : 2500001
    Paris, 75010, France
  • Investigational Site Number : 2500005
    Toulouse, 31059, France
  • Investigational Site Number : 2760002
    Berlin, 13353, Germany
  • Investigational Site Number : 2760004
    Essen, 45147, Germany
  • Investigational Site Number : 2760001
    Munich, 81675, Germany
  • Investigational Site Number : 3800004
    Bologna, Emilia-Romagna 40138, Italy
  • Investigational Site Number : 3800002
    Rome, Lazio 00168, Italy
  • Investigational Site Number : 3800001
    Brescia, Lombardy 25123, Italy
  • Investigational Site Number : 3800003
    Milan, Milano 20162, Italy
  • Investigational Site Number : 7240004
    Barcelona, Barcelona [Barcelona] 08035, Spain
  • Investigational Site Number : 7240003
    Madrid, Madrid, Comunidad de 28041, Spain
  • Investigational Site Number : 7240002
    Madrid, Madrid, Comunidad de 28046, Spain
  • Investigational Site Number : 7520001
    Huddinge, 141 57, Sweden
  • Investigational Site Number : 7520002
    Uppsala, 751 85, Sweden
08

References and documents

Publications

  • Karpman D, Bekassy Z, Grunenwald A, Roumenina LT. A role for complement blockade in kidney transplantation. Cell Mol Immunol. 2022 Jul;19(7):755-757. doi: 10.1038/s41423-022-00854-5. Epub 2022 Mar 24. No abstract available. PubMed 35332298 ↗

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 Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05156710
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Dec 14, 2021
Start date
Jun 9, 2022
Primary completion
Oct 21, 2025
Completion
Oct 20, 2026 (estimated)
Last update
Aug 21, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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