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Sanofi Advances Multiple Phase 2 Trials Targeting Rare Kidney Diseases and Ulcerative Colitis

11 days ago3 min read

Key Insights

  • Sanofi has initiated a Phase 2a clinical trial evaluating three experimental drugs—Frexalimab, SAR442970, and Rilzabrutinib—for treating primary focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD) in patients aged 16 to 75 years.

  • The kidney disease study employs a randomized, double-blind, placebo-controlled design with quadruple masking to assess changes in proteinuria and remission rates of nephrotic syndrome.

  • Separately, Sanofi is conducting a Phase 2 dose-ranging study of SAR441566, an oral tablet, for moderate-to-severe ulcerative colitis to evaluate clinical remission rates.

Sanofi has launched two significant Phase 2 clinical trials targeting distinct therapeutic areas, with one focusing on rare kidney diseases and another on inflammatory bowel disease. The pharmaceutical giant is evaluating multiple experimental compounds that could address significant unmet medical needs in these challenging conditions.

Kidney Disease Trial Targets FSGS and MCD

The company has initiated a Phase 2a clinical trial to evaluate three experimental drugs—Frexalimab, SAR442970, and Rilzabrutinib—in treating primary focal segmental glomerulosclerosis (FSGS) and minimal change disease (MCD). The study targets participants aged 16 to 75 years and aims to assess changes in proteinuria and remission rates of nephrotic syndrome compared to placebo.
The trial employs a randomized, double-blind study design with a parallel intervention model and quadruple masking, ensuring that participants, care providers, investigators, and outcomes assessors remain unaware of which treatment is being administered. Each of the three experimental drugs is designed to target and potentially improve symptoms of FSGS and MCD, conditions that represent significant challenges in nephrology.
The kidney disease study began on December 19, 2024, with recruitment currently ongoing. The primary completion date has not yet been announced, though the latest update was submitted on July 7, 2025.

Ulcerative Colitis Program Advances

Concurrently, Sanofi is conducting a separate Phase 2 study evaluating SAR441566 for moderate-to-severe ulcerative colitis. The multinational, multicenter trial is designed as a randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the efficacy and safety of the experimental compound in achieving clinical remission.
SAR441566 is administered as an oral tablet, with the study including three experimental dose regimens compared against a placebo group. The trial utilizes the same rigorous quadruple masking approach as the kidney disease study, maintaining blinding across all stakeholders involved in the research process.
This ulcerative colitis study commenced on March 28, 2025, with the most recent update submitted on June 30, 2025. The study remains ongoing with active recruitment.

Strategic Implications

Both clinical programs represent significant strategic investments for Sanofi in addressing conditions with substantial unmet medical needs. The outcomes of these studies could significantly influence the company's stock performance, as positive results may boost investor confidence and market value. In the competitive pharmaceutical landscape, successful development of treatments for FSGS, MCD, and ulcerative colitis could position Sanofi favorably against competitors in these therapeutic areas.
The parallel advancement of multiple Phase 2 trials demonstrates Sanofi's commitment to expanding its pipeline across diverse therapeutic areas, from rare kidney diseases to inflammatory bowel conditions. Both studies employ robust methodological approaches designed to generate high-quality clinical evidence for regulatory submissions.
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