RecruitingPhase 2NCT07156175

A Study to Investigate the Efficacy and Safety of SAR444336 in Adults With Microscopic Colitis in Clinical Remission

A Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Assess the Efficacy, Safety, and Tolerability of SAR444336 in Participants With Microscopic Colitis in Clinical Remission With Budesonide


Sponsor

Sanofi

Enrollment

54 participants

Start Date

Oct 14, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a parallel, placebo-controlled, multicenter, randomized, double-blind, Phase 2, proof of concept study. The study aims to evaluate the efficacy and safety of SAR444336 in adult participants with microscopic colitis. Participants are required to have a histologically confirmed diagnosis of microscopic colitis, be in clinical remission and be receiving budesonide therapy. The overall study duration is approximately 32 weeks.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Participants with histologically confirmed diagnosis of microscopic colitis (including all histological sub-types).
  • Receiving budesonide therapy.
  • Documented clinical remission from 2 weeks before screening.
  • At least 1 microscopic colitis relapse in the last 8 months prior to screening that required treatment with budesonide.
  • Body mass index within the range 18 to 35 kg/m2 (inclusive) at screening visit.
  • All contraceptive methods used by participants should be consistent with local regulations regarding the methods of contraception.

Exclusion Criteria19

  • Significant neutrophilic/eosinophilic infiltration, crypt abscesses, granulomata, or any evidence of IBD other than microscopic colitis.
  • Evidence of infectious diarrhea in the 3 months prior to randomization.
  • Other active diarrheal conditions or suspicion of drug--induced microscopic colitis at screening, or diarrhea predominant irritable bowel syndrome.
  • Any current active viral, bacterial, or fungal infection or any medically relevant infection having occurred within 3 weeks before randomization.
  • Previous bowel surgeries.
  • Planned surgery while receiving study treatment. Dental surgeries or other types of minor surgery requiring only local anesthetic are allowed.
  • Other immunologic disorder, except controlled diabetes or thyroid disorder receiving appropriate treatment.
  • Presence or history of drug hypersensitivity associated with eosinophilia in the past 6 months.
  • History or presence of alcohol or illicit drug abuse within the past 2 years.
  • Excessive consumption of beverages containing xanthine bases.
  • History of solid organ transplant.
  • Active malignancy, lymphoproliferative disease, or malignancy in remission for less than 2 years, except adequately treated (cured) localized carcinoma in situ of the cervix or ductal breast, or squamous cell carcinoma, or basal cell carcinoma of the skin.
  • Have experienced any of the following within 12 months before screening: myocardial infarction, unstable ischemic heart disease, stroke, or New York Heart Association Stage III or IV heart failure.
  • Participants with a history or presence of another significant illness such as renal, neurological, ophthalmological, psychiatric, endocrine, cardiovascular, gastrointestinal, hepatic disease, metabolic, pulmonary or lymphatic.
  • Live attenuated vaccines within 6 weeks of randomization and during the study.
  • Currently receiving or had treatment within 12 months prior to screening with B or T cell depleting agents.
  • At screening, have abnormal laboratory values or ECG abnormalities.
  • Participants with recent tuberculosis (TB) vaccination or positive TB test results.
  • The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

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Interventions

DRUGSAR444336

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

DRUGPlacebo

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


Locations(26)

Investigational Site Number : 0560002

Ghent, Belgium

Investigational Site Number : 0560001

Leuven, Belgium

Investigational Site Number : 2080003

Aarhus, Denmark

Investigational Site Number : 2080002

Hvidovre, Denmark

Investigational Site Number : 2500001

Créteil, France

Investigational Site Number : 2500002

Montfermeil, France

Investigational Site Number : 2500003

Pessac, France

Investigational Site Number : 2760001

Frankfurt, Germany

Investigational Site Number : 2760005

Ludwigshafen, Germany

Investigational Site Number : 2760002

Potsdam, Germany

Investigational Site Number : 2760003

Tübingen, Germany

Investigational Site Number : 2760004

Ulm, Germany

Investigational Site Number : 3480002

Budapest, Hungary

Investigational Site Number : 3480003

Székesfehérvár, Hungary

Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Investigational Site Number : 380004

Milan, Milano, Italy

Azienda Ospedale Università Padova, Investigational Site Number : 380001

Padua, Padova, Italy

Fondazione Policlinico Gemelli IRCCS Roma, Investigational Site Number : 380003

Rome, Roma, Italy

A.O.U. Città della Salute e della Scienza di Torino, Presidio Molinette, S.C. Gastroenterologia U., Investigational Site Number : 380002

Turin, Torino, Italy

Investigational Site Number : 6160004

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland

Investigational Site Number : 6160003

Warsaw, Masovian Voivodeship, Poland

Investigational Site Number : 6160002

Warsaw, Masovian Voivodeship, Poland

Investigational Site Number : 7520001

Linköping, Sweden

Investigational Site Number : 7520002

Stockholm, Sweden

Investigational Site Number : 7520003

Stockholm, Sweden

Investigational Site Number : 8260002

Cambridge, Cambridgeshire, United Kingdom

Investigational Site Number : 8260001

Oxford, Oxfordshire, United Kingdom

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NCT07156175


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