Brivekimig for moderate to severe hidradenitis suppurativa
Official title: A Randomized, Double-blind, Placebo-controlled, Dose-ranging Phase 2 Study of Brivekimig Followed by a Maintenance Period in Participants With Moderate to Severe Hidradenitis Suppurativa
Run by Sanofi · NCT07170917 · Data updated 2026-11-12
This trial will test whether brivekimig can reduce symptoms in people with moderate to severe hidradenitis suppurativa.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 208 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Locations | 85 sites (Phoenix, Arizona and 84 other locations) |
| Status | Recruiting |
| Started | November 6, 2025 |
| Main results expected | February 9, 2027 |
| Study ends | November 23, 2029 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07170917 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people with at least six months of moderate to severe HS who have lesions in two or more body areas (one Hurley II or III), an AN count ≥5, a draining tunnel count ≤20, and a history of inadequate response or intolerance to oral antibiotics.
✕Probably not a fit
People with mild HS, fewer than five abscesses/inflammatory nodules, more than 20 draining tunnels, or who do not meet the listed anatomical or antibiotic-response criteria are unlikely to qualify or benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2b, global, multicenter, randomized, double-blind, placebo-controlled, parallel-group, dose-ranging trial testing brivekimig in participants with moderate to severe hidradenitis suppurativa. Participants must have had HS for at least six months, lesions in two or more distinct anatomic areas with at least one area Hurley Stage II or III, an abscess and inflammatory nodule (AN) count of ≥5, and a draining tunnel count of ≤20. The randomized treatment period is up to approximately 48 weeks, and total participation may last up to about 52–60 weeks depending on transition into a long-term extension. Both biologic-naive and biologic-experienced participants are eligible, and a history of inadequate response or intolerance to oral antibiotics is required.
Why it matters
Potential benefit: If successful, brivekimig could reduce inflammatory lesions and improve symptoms and quality of life for people with moderate to severe HS.
How similar studies have gone: Other biologic and targeted therapies have shown benefit in some HS trials, but brivekimig is an investigational agent with limited prior public data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants with a diagnosis of moderate to severe hidradenitis suppurativa (HS) for at least 6 months prior to Baseline * Participants must have HS lesions present in at least 2 distinct anatomic areas (eg, left and right axilla; or left axilla and left inguinocrural fold), one of which must be Hurley Stage II or Hurley Stage III. * Participant must have had an inadequate response to a trial of an oral antibiotic for treatment of HS, exhibited recurrence after discontinuation of antibiotics, demonstrated intolerance to antibiotics, or has a contraindication to oral antibiotics for treatment of their HS as assessed by the Investigator through participant interview and review of medical history. * Participants must be either biologic-naive or biologic-experienced. * Participant must have a total abscess and inflammatory nodule (AN) count of ≥5 at the Baseline visit. * Participant must have a draining tunnel count of ≤20 at the Baseline visit. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Any other active skin disease or condition (eg, bacterial, fungal, or viral infection) that may interfere with assessment of HS * History of recurrent or recent serious infection * Known history of significant immunosuppression * History of solid organ transplant or stem cell transplant * History of splenectomy * History of moderate to severe congestive heart failure. * History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease * Participants with a history of malignancy or lymphoproliferative disease other than adequately treated or nonmetastatic squamous cell carcinoma of the skin that was excised and completely cured or nonmetastatic basal cell carcinoma of the skin that was excised and completely cured * History of any other condition which, in the opinion of the Investigator, would put the participant at risk by participation in the protocol * Active suicidality and therefore significant suicide risk, as judged by the Investigator * A history of an Adverse Event (AE) attributed to or related to anti-TNF therapy (examples include, but are not limited, to serum sickness or anaphylaxis) for an HS or non-HS indication that would contraindicate readministration of an anti-TNF class therapy * Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study * History (within last 2 years prior to Baseline visit) of prescription drug or substance abuse, including alcohol, considered significant by the Investigator The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Where it's running
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Medical Dermatology Specialists- Site Number : 8400019
Phoenix, Arizona, United States Recruiting -
Mayo Clinic in Arizona - Scottsdale- Site Number : 8400014
Scottsdale, Arizona, United States Recruiting -
Northridge Clinical Trials - Northridge- Site Number : 8400005
Northridge, California, United States Recruiting -
Beth Israel Deaconess Medical Center - Fort Myers- Site Number : 8400001
Fort Myers, Florida, United States Recruiting -
FXM Clinical Research - Miami- Site Number : 8400017
Miami, Florida, United States Recruiting -
FXM Clinical Research - Miramar- Site Number : 8400004
Miramar, Florida, United States Recruiting
Show 44 more locations
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Advanced Medical Research - Atlanta- Site Number : 8400011
Atlanta, Georgia, United States Recruiting -
Georgia Skin & Cancer Clinic- Site Number : 8400009
Savannah, Georgia, United States Recruiting -
The Iowa Clinic West Des Moines Campus- Site Number : 8400007
West Des Moines, Iowa, United States Recruiting -
Louisiana Dermatology Associates- Site Number : 8400006
Baton Rouge, Louisiana, United States Recruiting -
Washington University- Site Number : 8400010
St Louis, Missouri, United States Recruiting -
JDR Dermatology Research- Site Number : 8400012
Las Vegas, Nevada, United States Recruiting -
Icahn School of Medicine at Mount Sinai- Site Number : 8400021
New York, New York, United States Recruiting -
University of North Carolina at Chapel Hill- Site Number : 8400025
Chapel Hill, North Carolina, United States Recruiting -
Clinical Partners- Site Number : 8400002
Johnston, Rhode Island, United States Recruiting -
AMR Clinical South Strand, South Carolina- Site Number : 8400018
Myrtle Beach, South Carolina, United States Recruiting -
Ut Southwestern Medical Center, Department Of Dermatology- Site Number : 8400022
Dallas, Texas, United States Recruiting -
Investigational Site Number : 0360003
Liverpool, New South Wales, Australia Recruiting -
Investigational Site Number : 0360002
Melbourne, Victoria, Australia Recruiting -
Investigational Site Number : 1240008
Edmonton, Alberta, Canada Recruiting -
Investigational Site Number : 1240007
Sherwood Park, Alberta, Canada Recruiting -
Investigational Site Number : 1240003
Kelowna, British Columbia, Canada Recruiting -
Investigational Site Number : 1240001
Hamilton, Ontario, Canada Recruiting -
Investigational Site Number : 1240009
Toronto, Ontario, Canada Recruiting -
Investigational Site Number : 1240005
Québec, Quebec, Canada Recruiting -
Investigational Site Number : 1520004
Talcahuano, Biobio, Chile Recruiting -
Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Investigational Site Number : 1520002
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Investigational Site Number : 1520005
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Investigational Site Number : 1560002
Chengdu, China Recruiting -
Investigational Site Number : 1560001
Guangzhou, China Recruiting -
Investigational Site Number : 1560004
Shanghai, China Recruiting -
Investigational Site Number : 1560005
Ürümqi, China Recruiting -
Investigational Site Number : 2500001
Antony, France Recruiting -
Investigational Site Number : 2500004
Bezannes, France Recruiting -
Investigational Site Number : 2500003
Bordeaux, France Recruiting -
Investigational Site Number : 2500002
Lyon, France Recruiting -
Investigational Site Number : 2500006
Saint-Priest-en-Jarez, France Recruiting -
Investigational Site Number : 2500007
Toulouse, France Recruiting -
Investigational Site Number : 2760002
Bochum, Germany Recruiting -
Investigational Site Number : 2760008
Bramsche, Germany Recruiting -
Investigational Site Number : 2760003
Frankfurt, Germany Recruiting -
Investigational Site Number : 2760005
Kiel, Germany Recruiting -
Investigational Site Number : 2760004
Mainz, Germany Recruiting -
Investigational Site Number : 2760001
Münster, Germany Recruiting -
Investigational Site Number : 2760006
Würzburg, Germany Recruiting -
Investigational Site Number : 3000002
Athens, Greece Recruiting -
Investigational Site Number : 3000001
Athens, Greece Recruiting -
Investigational Site Number : 3000005
Athens, Greece Recruiting
+35 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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BTK inhibitor remibrutinib in hidradenitis suppurativa shows how it works in adults
This phase 1 trial tests whether remibrutinib can safely affect HS in adults with moderate to severe disease.
-
Olatorepatide vs placebo for adults with moderate-to-severe hidradenitis suppurativa who are overweight
This study tests whether olatorepatide can help people with hidradenitis suppurativa who are overweight or obese.
-
Remibrutinib extension study for adults with moderate to severe hidradenitis suppurativa
This extension study tests whether continuing remibrutinib is safe and helps skin symptoms in adults who completed prior HS trials.
-
LAD328 in adults with hidradenitis suppurativa
This study tests whether LAD328 works better than placebo for adults with moderate-to-severe hidradenitis suppurativa.
-
Long-term real-world tracking of secukinumab treatment for moderate to severe hidradenitis suppurativa in Italy
This project will see how secukinumab works and is used in adults with moderate to severe hidradenitis suppurativa in Italy.
-
Secukinumab outcomes in Canadians with hidradenitis suppurativa
It will see how well secukinumab works and how safe it is for adults in Canada with moderate-to-severe hidradenitis suppurativa who were newly prescribed it in routine care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.