ClinicalTrials.gg
Not yet recruitingNCT07930624Updated Nov 12, 2026

A Study to Investigate Long-term Safety and Tolerability of Frexalimab in Participants With Multiple Sclerosis

A Phase 3 interventional study of Frexalimab and Frexalimab in Multiple Sclerosis, sponsored by Sanofi. Not yet recruiting. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Sanofi · Phase 3, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 3
Study type
Interventional
Enrollment
2,500
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 44 studies in Multiple Sclerosis by Sanofi — 3 open to participants now, 6 under way, 4 of them phase 3. Multiple Sclerosis · Sanofi.

Planned enrollment
Largest of 41
2,500 · median 166
Started
2027
the only one that year
Phase 3
18 of 44
2 open now
Registered
44th of 44
by date

Among the 44 studies in Multiple Sclerosis by Sanofi, this one has the largest planned enrollment of the 41 interventional ones that give a count, is the only one that started in 2027, is one of 18 in phase 3, and was the 44th registered.

Multiple Sclerosis

3,267 studies on the registry are indexed under Multiple Sclerosis; 662 are open to participants now.

Browse Multiple Sclerosis studies →

Open to participants now

3 of the 44 studies in Multiple Sclerosis by Sanofi are open now, in 8 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 430 Multiple Sclerosis studies recruiting now, 163 (38%) set no upper age limit and 211 (49%) stop at 75 or younger; 40 take children under 18; 96 take healthy volunteers.

This study: 18 Years to 60 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 44 studies in Multiple Sclerosis by Sanofi, or all of them as a file.
02

Study summary

Study LTS18002 is a global, multicenter, open-label (OL), Phase 3, long-term safety and efficacy extension study.

The purpose of this study is to provide continued access to frexalimab for participants with MS, and to evaluate the long-term safety and efficacy profile of frexalimab. This study will monitor delayed AEs, assess the durability of safety findings and characterize any emerging safety signals that may develop over an extended follow up period.

Study details include:

  • The study duration will be up to 4 years.
  • The OL treatment duration will be up to 96 weeks (corresponding to approximately 2 years) per participant.
  • There is an additional 24 weeks of safety follow up from the last dose of OL frexalimab for all participants (safety follow-up period/EOS: 4, 12 and 24 weeks after last investigational medicinal product(IMP) or OL frexalimab administration).
  • The number of visits over the 2-year duration will be dependent on subgroup assignment which is based on parent study from which the participant has entered the LTS18002 :

    1. ACT16877, EFC17504, EFC18098, and ASY22814 participants

      • Will have on-site visits every 12 weeks (9 visits)

        • Additionally, there will be 16 on-site visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92) for all participants EXCEPT those entering from EFC18098 (frexalimab open label administration is conducted at home via SC large volume (OBDS VT) device)

          • There will be 3 follow up visits beginning 4 weeks after the last administration of OL frexalimab

            • Home administration is allowed for participants from ACT16877, based on Investigator judgement, participant/caregiver training and local availability. Home nurse services are mandatory for at-home administration.

              • Home nurse services for at home administration may be considered for EFC17504 participants after Week 24 administration of OL frexalimab, based on availability. Participants that have initiated OL frexalimab via home administration during the parent study may continue to receive it in this manner.

                • NOTE: For participants from EFC17504, all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams
    2. EFC17919A/B participants

      • Will have on site visits every 12 weeks (9 visits)

        • Will have a total of 16 visits for OL frexalimab administration (Week 4, 8, 16, 20, 28, 32, 40, 44, 52, 56, 64, 68, 76, 80, 88, and 92)

          • Additionally, there will be up to 3 visits for administration of DB treatment (until results become available and randomization assignment availability).

            • Home nurse services for at home administration may be considered for EFC17919A/B participants after Week 24 administration of OL frexalimab, based on availability.

NOTE: all on-site visits including monthly IMP administrations will include safety labs (biochemistry, hematology liver chemistry, and immunoglobulins) and physical exams.

03

Conditions studied

  • Multiple Sclerosis

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04

Who can participate

Ages eligible
18 Years to 60 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 with relapsing multiple sclerosis(RMS) or non-relapsing secondary progressive multiple sclerosis(nrSPMS) who completed, on IMP, the Phase 2 ACT16877 study, or one of the four Phase 3 frexalimab studies in MS indication (EFC17919A and EFC17919B, EFC17504, EFC18098), or planned Phase 2 biomarker ASY22814.

Exclusion criteria

Exclusion Criteria:

  • If IMP discontinuation criteria are met as per guidance
  • The participant is at risk for or has a persistent chronic, active (including fever ≥38°C and clinically unstable), recurring systemic infection or opportunistic infections (eg, PML See Appendix in protocol) as judged by the Investigator.
  • Notably low immunoglobulin G(IgG) levels, defined as a level that is 20% below the LLN, and/or notably low IgM level, defined as a level 10% below the LLN.
  • Participants who developed cardiovascular, hepatic, endocrine, neuropsychiatric or other major systemic disease making implementation of the protocol or interpretation of the study results difficult or that would put the participant at risk by participating in the extension study, as judged by the Investigator.
  • Clinical evidence, suspicion or significant risk for thromboembolic events, as well as myocardial infarction, stroke, and/or antiphospholipid syndrome and any participants requiring antithrombotic treatment.
  • Continued need for/chronic use of a prohibited concomitant medication.
  • Suicidal risk as per C-SSRS: if a participant scores "yes" on items 4 or 5 of the Suicidal Ideation Section, or "yes" on any item of the Suicidal Behavior Section.

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(1)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,500 participants (estimated)

Study arms

  • Experimental
    Frexalimab SC (OL)

    Participants will be administered frexalimab subcutaneous

    Drug: Frexalimab · Drug: MRI contrast-enhancing agents

  • Experimental
    Frexalimab IV (OL)

    Participants will be administered frexalimab intravenously

    Drug: Frexalimab · Drug: MRI contrast-enhancing agents

  • Experimental
    Frexalimab (DB)

    For EFC17919A/B parent study participants: at Opt-in visit participants will continue to be administered f rexalimab through unblinding visit. Participants will receive placebo tablet once daily until the unblinding visit.

    Drug: Frexalimab · Drug: Teriflunomide Placebo · Drug: MRI contrast-enhancing agents · Drug: Cholestyramine · Drug: charcoal

  • Active comparator
    Teriflunomide (DB)

    For EFC17919A/B parent study participants: at Opt-in visit participants will continue to receive teriflunomide tablet. The placebo will be administered to participants at the same infusion rate and duration as for frexalimab from the opt-in visit until availability of results and unblinding.

    Drug: Frexalimab Placebo · Drug: Teriflunomide · Drug: MRI contrast-enhancing agents · Drug: Cholestyramine · Drug: charcoal

Interventions

  • Pharmaceutical form:Solution for injection-Route of administration:SC

    Also known as: SAR441344

  • Pharmaceutical form:Solution for infusion-Route of administration:IV

    Also known as: SAR441344

  • DrugFrexalimab Placebo

    Pharmaceutical form:Solution for infusion-Route of administration:IV

  • Pharmaceutical form:Tablet-Route of administration:Oral

  • DrugTeriflunomide Placebo

    Pharmaceutical form:Tablet-Route of administration:Oral

  • DrugMRI contrast-enhancing agents

    Route of administration:IV

  • Route of administration:oral

  • Route of administration:oral

06

What researchers measure

Primary outcomes

  1. Number of participants with Adverse Events(AEs)

    Number of participants with Adverse Events(AEs), serious adverse event(SAEs), AEs leading to permanent study intervention discontinuation, adverse event of special interest(AESIs), local tolerability, clinically significant abnormalities in laboratory tests, Columbia-Suicide Severity Rating Scale(C-SSRS)

    Time frame: up to to approximately 2.5 years since last participant in

Secondary outcomes

  1. Participants from EFC17919A, EFC17919B, and EFC17504 studies only: time to onset of 6-month composite confirmed disability worsening(cCDW) for RMS or composite confirmed disability progression(cCDP) for nrSPMS

    Time frame: up to to approximately 2.5 years since last participant in

  2. Time to onset of individual components of the composite, confirmed over 3 months or 6 months EDSS for all prior study participants 9-HPT, T25FW test (participants rolling over from EFC17504, EFC17919A, and EFC17919B)

    Time frame: up to to approximately 2.5 years since last participant in

  3. Progression independent of relapse activity defined as the time to onset of 6-month cCDW

    Progression independent of relapse activity defined as the time to onset of 6-month cCDW, defined by either no prior relapse or an onset more than 90 days after the start date of the last Investigator reported relapse (participants rolling over from EFC17919A and EFC17919B)

    Time frame: up to to approximately 2.5 years since last participant in

  4. Number of new and/or enlarging T2-hyperintense lesions per year as detected by MRI

    Time frame: up to to approximately 2.5 years since last participant in

  5. Total number of new GdE T1 lesions per year as detected by MRI

    Time frame: up to to approximately 2.5 years since last participant in

  6. Change from baseline at scheduled visits in total volume of T2-hyperintense lesions as detected by brain MRI

    Time frame: up to to approximately 2.5 years since last participant in

  7. ARR assessed by confirmed protocol defined relapses

    Time frame: up to to approximately 2.5 years since last participant in

  8. antidrug antibodys(ADAs) incidence

    Time frame: up to to approximately 2.5 years since last participant in

  9. Change from baseline in serum immunoglobulin(Ig) levels

    Time frame: up to to approximately 2.5 years since last participant in

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

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Feb 2027; primary completion for May 2031, 51 months later.

Of 71 industry-sponsored phase 3 interventional studies under Multiple Sclerosis, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 54. This study's planned 51 months is above that.

Counting every sponsor, half of 96 studies reached it within 42 months; a quarter within 26 and three quarters within 63.

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

Registered
Nov 3, 2026
First posted
Nov 12, 2026
StartEst.
Feb 15, 2027
Primary completionEst.
May 16, 2031
CompletionEst.
May 16, 2031
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 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
NCT07930624
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Feb 15, 2027 (estimated)
Primary completion
May 16, 2031 (estimated)
Completion
May 16, 2031 (estimated)
Last update
Nov 12, 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
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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Discussion

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Studies of the drugs tested here: Frexalimab · Cholestyramine Resin · Charcoal

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