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Not yet recruitingNCT07923383Updated Nov 6, 2026

An Open-label, DDI Study to Investigate the Effects of Duvakitug on the PK of Selected Cytochrome P450 Substrates

A Phase 1 interventional study of Duvakitug in Ulcerative Colitis and Crohn's Disease, sponsored by Sanofi. Not yet recruiting. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Sanofi · Phase 1, Interventional, and Basic science

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is an open-label, single group, 2-period, Phase 1, single-arm study. The primary purpose of this study is to investigate the effects of duvakitug on the pharmacokinetics of selected cytochrome P450 substrates in adult participants with moderately to severely active ulcerative colitis or Crohn's disease. Approximately 25 participants will be enrolled. The total study duration per participant will be approximately 166 days.

02

Conditions studied

  • Ulcerative Colitis
  • Crohn's Disease

Keywords

  • Colitis ulcerative
03

In context

Colitis, Ulcerative

1,853 studies on the registry are indexed under Colitis, Ulcerative; 472 are open to participants now.

This study's planned enrollment of 25 is below the median of 70 across 1,236 interventional studies indexed under Colitis, Ulcerative.

Browse Colitis, Ulcerative 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 65 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 aged ≥18 and ≤65 years (both inclusive) of age at Screening.
  • Ulcerative colitis (UC) participants only:

    • Confirmed diagnosis of UC for at least 3 months prior to Screening.
    • Active UC with a modified Mayo Score of 5 to 9 points and Mayo Endoscopic Subscore of 2 to 3 at Screening (historical endoscopy within 3 months of screening). If no data are available or if available historical endoscopy data are deemed insufficient to determine clinical status, an endoscopy will be performed at Screening.
  • Crohn's Disease (CD) participants only:

    • Confirmed diagnosis of CD for at least 3 months prior to Screening.
    • Participants with moderately to severely active CD, defined as:

      1. Persistently active disease with a Crohn's Disease Activity Index score of 220 to 450, with endoscopic Simple Endoscopic Score for Crohn's Disease score (excluding the presence of narrowing component) ≥6 (or ≥4 for participants with isolated ileal disease), (historical endoscopy within 3 months of Screening). If no data are available, an endoscopy will be performed at Screening.
      2. Average daily very soft or liquid stool frequency ≥4.0 and/or average daily abdominal pain score ≥2.0 at Screening.
  • Demonstrated inadequate response, loss of response or intolerance to conventional therapies or advanced therapies, in the opinion of the Investigator to at least 1 of following approved treatments:

Conventional therapies

  • Immunomodulators (eg, AZA, 6-MP, MTX, tacrolimus, thioguanine).
  • IV or oral . Advanced therapies
  • Biologics (eg, infliximab, golimumab, adalimumab, certolizumab pegol, natalizumab, vedolizumab, risankizumab, guselkumab, mirikizumab, ustekinumab)
  • JAKi (eg, upadacitinib).
  • S1PRm (eg, ozanimod, etrasimod).

    • Participant must weigh >40 kg.

Exclusion criteria

Exclusion Criteria:

  • For ulcerative colitis (UC) participants only:

    • Participant with a current diagnosis of CD or indeterminate colitis.
    • Participant with a current diagnosis of ulcerative proctitis (disease limited to the rectum) during the screening endoscopy and in the available endoscopic report.
    • Participant with surgical bowel resection within the past 3 months prior to Screening, or a history of >3 bowel resections.
  • Crohn's Disease (CD) participants only:

    --Participant with a current diagnosis of UC or indeterminate colitis.

  • Participant with the following current complications of UC or CD:

    • Abscess (abdominal or peri-anal),
    • Impassable or symptomatic bowel strictures,
    • Fulminant colitis, or toxic megacolon, or
    • Any other manifestation that might require surgery while enrolled in the study.
  • Participant with ostomy or ileoanal pouch.
  • Participant diagnosed with short bowel syndrome.
  • Poor metabolizers for cytochrome P450 (CYP) 2C9, CYP2C19, or CYP2D6 based on genotyping. Participants who do not consent to this required CYP genotype testing will be excluded from the study.
  • Any to one or more of the following CYP cocktail study interventions, according to the applicable labeling:

    • Caffeine.
    • Metoprolol.
    • Midazolam.
    • Omeprazole.
    • Warfarin.
    • Vitamin K.

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

Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    Duvakitug

    Subcutaneous injection of duvakitug as per protocol and oral administration of caffeine, metoprolol, midazolam, omeprazole, warfarin and vitamin K as per protocol

    Drug: Duvakitug

Interventions

  • Pharmaceutical form: Solution for injection Route of administration: Subcutaneous injection

    Also known as: SAR447189

06

What researchers measure

Primary outcomes

  1. AUC for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol

    AUC: Area under the plasma concentration versus time curve extrapolated to infinity

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

  2. AUClast for CYP isoform specific substrates midazolam, omeprazole, warfarin, caffeine, and metoprolol

    AUClast: Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

Secondary outcomes

  1. Duvakitug serum concentrations: Ctrough

    Ctrough: Serum concentration observed just before treatment administration during multiple dosing

    Time frame: At Treatment Period 2, from Day 1 to Day 85

  2. tmax of CYP substrates alone and after duvakitug administration

    tmax: Time to reach Cmax

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

  3. t1/2 of CYP substrates alone and after duvakitug administration

    Terminal half-life associated with the terminal slope (λz) where λz is the slope of the regression line of the terminal phase of the plasma concentration versus time curve, in semi logarithmic scale. Half-life is calculated by taking the regression of at least 3 points.

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

  4. tlast of CYP substrates alone and after duvakitug administration

    tlast: Time corresponding to the last concentration above the limit of quantification, Clast

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

  5. Cmax of CYP substrates alone and after duvakitug administration

    Cmax: Maximum plasma concentration observed

    Time frame: At Treatment Period 1 (CYP substrates alone, Day 1) and after 12 weeks of duvakitug (Treatment Period 2, Day 85)

  6. Number of participants with anti-drug antibodies against duvakitug

    Time frame: At Treatment Period 2, from Day 1 to Day 85

  7. Number of participants with TEAEs, TESAEs, TEAESIs, and TEAEs leading to permanent study intervention discontinuation

    TEAE: treatment-emergent adverse event, TESAE: treatment-emergent serious adverse event, TEAESI: treatment-emergent adverse event of special interest

    Time frame: From Treatment Period 1, Day 1 until the End of Study visit (approximately 130 days)

07

Study locations

No study locations are listed for this record.

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

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

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
NCT07923383
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Nov 3, 2026 (estimated)
Primary completion
Aug 8, 2028 (estimated)
Completion
Aug 29, 2028 (estimated)
Last update
Nov 6, 2026

Study contacts

Trial Transparency email recommended (Toll free for US & Canada)
Contact
Contact-US@sanofi.com
800-633-1610 ext. option 6

Oversight

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

Not currently enrolling

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Studies of the drug tested here: Duvakitug

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