ClinicalTrials.gg
TerminatedNCT06637631SPECIFI-CDUpdated Oct 13, 2026

A Study to Investigate Efficacy and Safety of SAR441566 in Patients With Crohn's Disease.

A Phase 2 interventional study of SAR441566 and SAR441566 matching Placebo in Crohn's Disease, sponsored by Sanofi. Terminated at 141 sites in 24 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Sanofi · Phase 2, Interventional, and Treatment

Why this study was terminated
Business decision.
Updated Oct 13, 2026Now TerminatedStudy completion moved+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is a phase 2, multinational, multicenter, randomized, double-blind, placebo-controlled, dose ranging study to evaluate the efficacy and safety of SAR441566 in adults with moderate to severe Crohn's Disease (CD). The primary objective of this study is to assess the efficacy of different doses of SAR441566 compared with placebo in participants with moderate to severe CD.

This study will have an anticipated duration of up to 59 weeks which will include a screening period of 4 weeks (+7 calendar days if needed), followed by the Main Study (MS) treatment period, lasting 52 weeks, and a 2-week follow-up period after end of treatment for participants not enrolling in the Long Term Safety (LTS) study. The MS period includes a Double-Blind (DB) treatment period with 12 weeks of induction followed by 40 weeks of maintenance.

Additionally, an Open Label (OL) period of up to 40 weeks will be offered to eligible participants. The combined duration of the DB maintenance and OL periods cannot exceed 40 weeks, depending on when participants switch.

02

Conditions studied

  • Crohn's Disease

Browse trials for

03

In context

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

This study's enrollment of 105 is above the median of 67 across 1,260 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Sanofi is the lead sponsor of 1,557 studies on the registry; 91 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 123 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Participants are eligible to be included in the study only if all of the following criteria apply:

  1. Male or female participants aged 18 to 75 years at the time of signing the ICF
  2. Confirmed diagnosis of CD for at least 3 months prior to Baseline
  3. Confirmed diagnosis of moderate to severe CD as assessed by:

    • Crohn's Disease Activity Index (CDAI) score and the Simple Endoscopic Score for Crohn's disease (SES-CD) on an endoscopy confirmed by a central reader
    • stool frequency (SF), abdominal pain (AP) score
  4. History of prior exposure to standard treatment (5-ASA, , immunomodulators or antibiotics) or advanced therapies (biologics or small molecules), but having inadequate response to, loss or response to or intolerance to at least one of these therapies
  5. On stable doses of standard treatments prior to screening (oral 5-ASA compounds, oral corticosteroids, thiopurines (eg. AZA, 6-MP), or MTX)
  6. use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Women participants should not be pregnant or breastfeeding.

Exclusion criteria

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

  1. Participants with active UC, indeterminate colitis or short bowel syndrome
  2. Participants with CD isolated to the stomach, duodenum, jejunum, or peri anal region, without colonic or ileal involvement
  3. Participants with following ongoing known complications of CD: fistula, abscess, symptomatic stricture/stenosis, fulminant colitis, toxic megacolon, recent bowel resection within 3 months of screening or history of > 3 bowel resections
  4. Participants with stool sample positive for infectious pathogens
  5. Participants with active tuberculosis (TB) or a history of incompletely treated active or latent TB per local guidelines
  6. Participants with Positive surface antigen (HBsAg) or positive Hepatitis B core antibody (HBcAb); and/or positive antibody (HCV) at the Screening Visit
  7. Participants with any other active, chronic or recurrent infection, including recurrent or disseminated herpes zoster or disseminated herpes simplex
  8. Participants with a known history of (HIV) infection or positive HIV-1 or HIV-2 serology at screening
  9. Participants presenting with active , lymphoproliferative disease, or recurrence of either, within the 5 years before screening
  10. History of colonic mucosal dysplasia or presence of colonic mucosal dysplasia or adenomatous colonic polyps not removed during colonoscopy at screening visit
  11. Infection(s) requiring treatment with IV anti infectives within 30 days or oral/intramuscular anti-infectives within 14 days prior to the screening visit
  12. Participants requiring or receiving any parental nutrition and/or exclusive enteral nutrition
  13. Participants who received cyclosporine, tacrolimus, mycophenolate mofetil, or thalidomide within 30 days prior to screening
  14. Participants who received fecal microbial transplantation within 30 days prior to screening
  15. Participants who have ever been exposed to natalizumab (Tysabri®) or oral carotegrast methyl (Carogra®)
  16. Participants who received IV within 14 days prior to screening or during screening period
  17. Participants who received therapeutic enema or suppository, other than required for colonoscopy within 14 days prior to screening or during screening
  18. Screening laboratory and other analyses show abnormal results

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

Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
105 participants (actual)

Study arms

  • Experimental
    SAR441566 dose 1

    Participants will receive SAR441566 dose 1.

    Drug: SAR441566

  • Experimental
    SAR441566 dose 2

    Participants will receive SAR441566 dose 2.

    Drug: SAR441566

  • Experimental
    SAR441566 dose 3

    Participants will receive SAR441566 dose 3.

    Drug: SAR441566

  • Placebo comparator
    Placebo

    Participants will receive SAR441566 matching placebo.

    Drug: SAR441566 matching Placebo

Interventions

  • Pharmaceutical form: Tablet Route of administration: Oral

  • DrugSAR441566 matching Placebo

    Pharmaceutical form: Tablet Route of administration: Oral

06

What researchers measure

Primary outcomes

  1. Proportion of participants achieving endoscopic response

    Endoscopic response is defined as ≥50% reduction from baseline in centrally read Simple Endoscopic Score for Crohn's Disease (SES-CD). The SES-CD evaluates 4 endoscopic variables (ulcer size, ulcerated surface, affected surface, and narrowing, each on a scale from 0 (none) to 3 in 5 segments assessed during ileocolonoscopy (ileum, right colon, transverse colon, sigmoid and left colon, and rectum). The total score is the sum of the 4 endoscopic variable scores and ranges from 0 to 56, where higher scores indicate more severe disease.

    Time frame: Week 12

Secondary outcomes

  1. Proportion of participants achieving clinical remission based on Crohn's Disease Activity Index (CDAI)

    CDAI clinical remission is defined as CDAI score \<150. CDAI is a composite instrument that includes participant symptoms evaluated over 7 days (abdominal pain, stool frequency and general well-being), as well as presence of complications (arthritis/arthralgia, iritis/uveitis, erythema nodosum/pyoderma gangrenosum/aphthous stomatitis, anal fissure/fistula/abscess, other fistula, and fever), the use of antidiarrheal medicines, presence of an abdominal mass, hematocrit, and body weight. These items are scored individually, weighted, and do not contribute equally to the overall score. The CDAI is derived from summing up the weighted individual scores of eight items. CDAI approximately ranges from 0 to 600 with higher scores indicating more severe disease.

    Time frame: Week 12

  2. Proportion of participants achieving Patient-Reported Outcome (PRO-2) remission

    PRO 2 remission is defined as the unweighted CDAI component of daily abdominal pain (AP) score ≤1, and the unweighted CDAI component of daily average stool frequency (SF) score ≤3 (ie, AP ≤1 and SF ≤3 and no worsening from baseline).

    Time frame: Week 12

  3. Proportion of participants achieving both clinical remission and endoscopic response

    Clinical remission and endoscopic response based on CDAI \<150 and ≥50% reduction from baseline in centrally read Simple Endoscopic Score for Crohn's Disease (SES-CD)

    Time frame: Week 12

  4. Proportion of participants achieving endoscopic remission based on centrally read SES-CD

    Endoscopic remission is defined as a centrally read SES-CD ≤4 points (SES-CD ≤2 points for isolated ileal disease) and a SES-CD decrease from baseline ≥2 points with no SES-CD sub score \>1 point

    Time frame: From Baseline to Week 12

  5. Proportion of participants achieving CDAI clinical response

    CDAI clinical response is defined as a CDAI reduction from baseline ≥100 points.

    Time frame: From Baseline to Week 12

  6. Proportion of participants achieving Inflammatory Bowel Disease Questionnaire (IBDQ) remission

    IBDQ remission is defined as IBDQ total score ≥170 points. The Inflammatory Bowel Disease Questionnaire (IBDQ) is used to assess health-related quality of life (HRQoL) in patients with inflammatory bowel disease. It consists of 32 questions evaluating bowel and systemic symptoms, as well as emotional and social functions. Each question is answered on a scale from 1 (worst) to 7 (best). The total score ranges from 32 to 224 with higher scores indicating better health-related quality of life.

    Time frame: Week 12

  7. Proportion of participants achieving IBDQ response

    IBDQ response defined as an improvement of IBDQ scores by 27 points or more at Week 12 compared with baseline

    Time frame: From baseline to Week 12

  8. Change from baseline in the IBDQ scores

    The total IBDQ score ranges from 32 to 224 which indicates better quality of life. A positive change from Baseline indicates improvement.

    Time frame: From Baseline to week 12

  9. Plasma pre-dose concentrations of SAR441566 at selected visits

    Time frame: Up to week 52

  10. Plasma post-dose concentrations of SAR441566 at selected visits

    Time frame: Up to week 52

  11. Number of participants experiencing any TEAEs

    Any TEAEs, including any serious opportunistic infections, psoriasiform skin lesions or other immune mediated phenomena during double-blind (DB) induction and maintenance treatment period

    Time frame: Up to week 52

  12. Number of participants experiencing any TEAEs

    Any TEAEs, including any serious opportunistic infections, psoriasiform skin lesions or other immune mediated phenomena during open-label treatment period

    Time frame: From week 12 to week 52

07

Study locations

141 sites
  • GI Alliance - Arizona Digestive Health - Sun City- Site Number : 8400020
    Sun City, Arizona 85351, United States
  • Bristol Hospital- Site Number : 8400007
    Bristol, Connecticut 06010, United States
  • Novum Research- Site Number : 8400021
    Clermont, Florida 34711, United States
  • Homestead Associates in Research- Site Number : 8400012
    Homestead, Florida 33033, United States
  • Clinical Research of Osceola- Site Number : 8400013
    Kissimmee, Florida 34741, United States
  • Wellness Clinical Research - Miami Lakes - 8181 Northwest 154th Street- Site Number : 8400010
    Miami Lakes, Florida 33016, United States
  • GCP Clinical Research- Site Number : 8400004
    Tampa, Florida 33609, United States
  • GI Alliance - Glenview- Site Number : 8400015
    Glenview, Illinois 60026, United States
  • Illinois Gastroenterology Group- Site Number : 8400011
    Gurnee, Illinois 60031, United States
  • University of Michigan Health System - Ann Arbor- Site Number : 8400017
    Ann Arbor, Michigan 48109, United States
  • Gi Alliance - Flowood- Site Number : 8400019
    Flowood, Mississippi 39232, United States
  • Vector Clinical Trials- Site Number : 8400001
    Las Vegas, Nevada 89128, United States
  • Queens Village Primary Medical Center- Site Number : 8400005
    Queens Village, New York 11428, United States
  • Carolina Digestive Diseases and Endoscopy Center- Site Number : 8400014
    Greenville, North Carolina 27834, United States
  • Frontier Clinical Research - Uniontown- Site Number : 8400009
    Uniontown, Pennsylvania 15401, United States
  • Medical University Of South Carolina - MUSC Health Ashley River Tower - ART- Site Number : 8400016
    Charleston, South Carolina 29401, United States
  • Gastro Health & Nutrition- Site Number : 8400003
    Katy, Texas 77494, United States
  • Texas Digestive Disease Consultants - Southlake- Site Number : 8400002
    Southlake, Texas 76092, United States
  • Washington Gastroenterology - Tacoma- Site Number : 8400008
    Tacoma, Washington 98405, United States
  • Investigational Site Number : 0320002
    San Miguel de Tucumán, Tucumán Province 4000, Argentina
  • Investigational Site Number : 0320003
    Buenos Aires, 1061, Argentina
  • Investigational Site Number : 0320005
    Buenos Aires, 1119, Argentina
  • Investigational Site Number : 0320001
    Buenos Aires, 1125, Argentina
  • Investigational Site Number : 0320004
    Buenos Aires, 1221, Argentina
  • Investigational Site Number : 0320006
    Buenos Aires, 1280, Argentina
  • Investigational Site Number : 0360002
    Sydney, New South Wales 2139, Australia
  • Investigational Site Number : 0360001
    South Brisbane, Queensland 4101, Australia
  • Investigational Site Number : 0360003
    Parkville, Victoria 3050, Australia
  • Centro de Pesquisas da Clínica IBIS- Site Number : 0760001
    Salvador, Estado de Bahia 41820-020, Brazil
  • Hospital Moinhos de Vento- Site Number : 0760006
    Porto Alegre, Rio Grande do Sul 90035-902, Brazil
  • Hospital de Clinicas de Porto Alegre- Site Number : 0760007
    Porto Alegre, Rio Grande do Sul 90035903, Brazil
  • Hospital Ernesto Dornelles- Site Number : 0760002
    Porto Alegre, Rio Grande do Sul 90160-093, Brazil
  • Pesquisare Saude- Site Number : 0760004
    Santo André, São Paulo 09080-110, Brazil
  • Investigational Site Number : 1000001
    Gorna Oryahovitsa, 5100, Bulgaria
  • Investigational Site Number : 1000004
    Sofia, 1431, Bulgaria
  • Investigational Site Number : 1000005
    Sofia, 1680, Bulgaria
  • Investigational Site Number : 1240001
    Calgary, Alberta T2N 4Z6, Canada
  • Investigational Site Number : 1240003
    Montreal, Quebec H3H 1E8, Canada
  • Investigational Site Number : 1240005
    Québec, Quebec G1N 4V3, Canada
  • Investigational Site Number : 1520006
    Concepción, Biobio 4070038, Chile
  • Investigational Site Number : 1520001
    Santiago, Reg Metropolitana de Santiago 8331143, Chile
  • Investigational Site Number : 1520003
    Santiago, Reg Metropolitana de Santiago 8380456, Chile
  • Investigational Site Number : 1520002
    Viña del Mar, Valparaiso 2540364, Chile
  • Investigational Site Number : 1560008
    Changzhou, 213003, China
  • Investigational Site Number : 1560009
    Chongqing, 400013, China
  • Investigational Site Number : 1560012
    Fuzhou, 350005, China
  • Investigational Site Number : 1560001
    Guangzhou, 510080, China
  • Investigational Site Number : 1560002
    Guangzhou, 510655, China
  • Investigational Site Number : 1560004
    Hangzhou, 310009, China
  • Investigational Site Number : 1560003
    Hangzhou, 310016, China
  • Investigational Site Number : 1560007
    Hefei, 230022, China
  • Investigational Site Number : 1560011
    Nanchang, 330006, China
  • Investigational Site Number : 1560006
    Shanghai, 200025, China
  • Investigational Site Number : 1560005
    Shanghai, 200127, China
  • Investigational Site Number : 1560010
    Suzhou, 215004, China
  • Investigational Site Number : 1910004
    Osijek, 31000, Croatia
  • Investigational Site Number : 1910003
    Zagreb, 10000, Croatia
  • Investigational Site Number : 2030003
    Brno, 602 00, Czechia
  • Investigational Site Number : 2030002
    Brno, 636 00, Czechia
  • Investigational Site Number : 2030001
    Olomouc, 779 00, Czechia
  • Investigational Site Number : 2030006
    Prague, 100 34, Czechia
  • Investigational Site Number : 2500005
    Montpellier, 34090, France
  • Investigational Site Number : 2500002
    Nice, 06202, France
  • Investigational Site Number : 2500004
    Saint-Priest-en-Jarez, 42270, France
  • Investigational Site Number : 2500003
    Toulouse, 31059, France
  • Investigational Site Number : 2500001
    Vandœuvre-lès-Nancy, 54511, France
  • Investigational Site Number : 2680006
    Kutaisi, 4600, Georgia
  • Investigational Site Number : 2680007
    Tbilisi, 0102, Georgia
  • Investigational Site Number : 2680001
    Tbilisi, 0144, Georgia
  • Investigational Site Number : 2680005
    Tbilisi, 0159, Georgia
  • Investigational Site Number : 2680002
    Tbilisi, 0160, Georgia
  • Investigational Site Number : 2680003
    Tbilisi, 0172, Georgia
  • Investigational Site Number : 2680004
    Tbilisi, 0180, Georgia
  • Investigational Site Number : 2760004
    Berlin, 10318, Germany
  • Investigational Site Number : 2760002
    Berlin, 12203, Germany
  • Investigational Site Number : 2760001
    Fulda, 36043, Germany
  • Investigational Site Number : 2760005
    Halle, 06108, Germany
  • Investigational Site Number : 2760006
    Ludwigshafen, 67067, Germany
  • Investigational Site Number : 2760008
    Magdeburg, 39104, Germany
  • Investigational Site Number : 2760007
    Nordhausen, 99734, Germany
  • Investigational Site Number : 3480003
    Békéscsaba, 5600, Hungary
  • Investigational Site Number : 3480002
    Budapest, 1085, Hungary
  • Investigational Site Number : 3480008
    Budapest, 1085, Hungary
  • Investigational Site Number : 3480010
    Eger, 3300, Hungary
  • Investigational Site Number : 3480001
    Gyöngyös, 3200, Hungary
  • Investigational Site Number : 3480009
    Gyöngyös, 3200, Hungary
  • Investigational Site Number : 3480005
    Szeged, 6720, Hungary
  • Investigational Site Number : 3480006
    Szekszárd, 7100, Hungary
  • Investigational Site Number : 3480004
    Tatabánya, 2800, Hungary
  • Investigational Site Number : 3560007
    Hyderabad, 500032, India
  • Investigational Site Number : 3560003
    Hyderabad, 500048, India
  • Investigational Site Number : 3560009
    Jaipur, 302001, India
  • Investigational Site Number : 3560001
    Jaipur, 302007, India
  • Investigational Site Number : 3560005
    Kolkata, 700020, India
  • Investigational Site Number : 3560006
    Pune, 412201, India
  • Investigational Site Number : 3560002
    Secunderabad, 500003, India
  • Investigational Site Number : 3560013
    Surat, 395002, India
  • Investigational Site Number : 3560010
    Surat, 395010, India
  • Investigational Site Number : 3800009
    Milan, Milano 20097, Italy
  • Investigational Site Number : 3800002
    Milan, Milano 20132, Italy

Showing the first 100 of 141 sites across 24 countries. Choose a country and city above to see the rest.

08

References and documents

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

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2024 to primary completion in Jul 2026, 19 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 10, 2024
First posted
Oct 15, 2024
StartActual
Dec 10, 2024
Primary completionActual
Jul 30, 2026
CompletionActual
Oct 2, 2026
Last update
Oct 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Active, not recruiting→Terminated Business decision.
changed Oct 13, 2026
Study completion
Oct 14, 2026→Oct 2, 2026 (actual)
Oct 13, 2026
Enrollment
260 (estimated)→105 (actual)
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Active, not recruiting→Terminated
    Why stopped Business decision.
    Study completion Oct 14, 2026→Oct 2, 2026 (now actual)
    Enrollment 260 (estimated)→105 (actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06637631
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Oct 15, 2024
Start date
Dec 10, 2024
Primary completion
Jul 30, 2026
Completion
Oct 2, 2026
Last update
Oct 13, 2026

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Balinatunfib

Start the discussion