Clinical trial No longer in our active list Phase 3 Interventional Ages 18 to 60

Evaluating Frexalimab for Adults with Nonrelapsing Secondary Progressive Multiple Sclerosis

Official title: A Randomized, Double-blind, Phase 3 Study Comparing Efficacy and Safety of Frexalimab (SAR441344) to Placebo in Adult Participants With Nonrelapsing Secondary Progressive Multiple Sclerosis

Run by Sanofi · NCT06141486 · Data updated 2026-05-14

This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.

This study is testing if a new medication called frexalimab can help adults with nonrelapsing secondary progressive multiple sclerosis slow down their disability progression.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment900 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionsocrelizumab, ofatumumab, ublituximab, rituximab, frexalimab
Locations338 sites (Birmingham, Alabama and 337 other locations)
Trial IDNCT06141486 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 60 with a diagnosis of nonrelapsing secondary progressive multiple sclerosis and documented evidence of disability progression.

Probably not a fit

Patients who have experienced clinical relapses in the past 24 months or those who do not meet the specific inclusion criteria will not benefit from this study.

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 randomized, double-blind, placebo-controlled study aimed at assessing the efficacy and safety of frexalimab in adults diagnosed with nonrelapsing secondary progressive multiple sclerosis (nrSPMS). Participants aged 18 to 60 will receive either the treatment or a placebo over a period of up to 36 months, with regular monitoring through scheduled visits. The study will conclude once a predetermined number of disability progression events are recorded, ensuring a thorough evaluation of the drug's impact on delaying disability progression.

Why it matters

Potential benefit: If successful, this treatment could significantly delay disability progression in patients with nonrelapsing secondary progressive multiple sclerosis.

How similar studies have gone: Other studies have shown promise in treating multiple sclerosis with similar approaches, but the specific efficacy of frexalimab in this context is still being evaluated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participant must have a previous diagnosis of RRMS in accordance with the 2017 revised McDonald criteria.
* Participant must have a current diagnosis of SPMS in accordance with the clinical course criteria revised in 2013 endorsed by an Adjudication Committee.
* Participant must have documented evidence of disability progression observed during the 12 months before screening. Eligibility will be analyzed by an Adjudication Committee.
* Absence of clinical relapses for at least 24 months.
* The participant must have an EDSS score at screening from 3.0 to 6.5 points, inclusive.
* Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
* For patients eligible to be treated with siponimod: 1) does not tolerate it due to side effects or safety reasons, or 2) has failed siponimod treatment due to perceived lack of efficacy, or 3) has declined siponimod treatment.

Exclusion Criteria:

* The participant has a history of infection or may be at risk for infection.
* The presence of psychiatric disturbance or substance abuse.
* History, clinical evidence, suspicion or significant risk for thromboembolic events, as well as myocardial infarction, stroke, and/or antiphosholipid syndrome and any participants requiring antithrombotic treatment.
* Current hypogammaglobulinemia defined by immunoglobulin levels (IgG and/or IgM) below the lower limits of normal (LLN) at Screening or a history of primary hypogammaglobulinemia. Patients with a history of secondary hypogammaglobulinemia induced by anti-C20 monoclonal antibodies (eg, ocrelizumab, ofatumumab, ublituximab, rituximab) may be considered for study inclusion provided their immunoglobulin levels are within the normal limits (WNL) at time of Screening.
* A history or presence of disease that can mimic MS symptoms, such as, but not limited to neuromyelitis optica spectrum disorder, systemic lupus erythematosus, Sjogren's syndrome, acute disseminated encephalomyelitis, and myasthenia gravis.
* The participant has sensitivity to any of the study interventions, or components thereof, or has a drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study.
* The participant was previously exposed to frexalimab.

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

Where it's running

  • Alabama Neurology Associates- Site Number : 8400115
    Birmingham, Alabama, United States
    Recruiting
  • Dignity Health St. Joseph's Hospital and Medical Center- Site Number : 8400139
    Phoenix, Arizona, United States
    Recruiting
  • HonorHealth Neurology- Site Number : 8400074
    Scottsdale, Arizona, United States
    Recruiting
  • Perseverance Research Center- Site Number : 8400138
    Scottsdale, Arizona, United States
    Recruiting
  • Imaging EndPoints- Site Number : 8400050
    Scottsdale, Arizona, United States
    Recruiting
  • Sutter East Bay Medical Foundation- Site Number : 8400134
    Berkeley, California, United States
    Recruiting
Show 44 more locations
  • The Research Center of Southern California, LLC- Site Number : 8400023
    Carlsbad, California, United States
    Recruiting
  • University of California, Irvine- Site Number : 8400143
    Irvine, California, United States
    Recruiting
  • University of California San Diego- Site Number : 8400095
    La Jolla, California, United States
    Recruiting
  • Southern California Permanente Medical Group- Site Number : 8400184
    Los Angeles, California, United States
    Recruiting
  • University of Southern California, Los Angeles- Site Number : 8400118
    Los Angeles, California, United States
    Recruiting
  • Hoag Memorial Hospital- Site Number : 8400031
    Newport Beach, California, United States
    Recruiting
  • Stanford Neuroscience Health Center- Site Number : 8400120
    Palo Alto, California, United States
    Recruiting
  • Regina Berkovich, MD, PhD- Site Number : 8400005
    West Hollywood, California, United States
    Recruiting
  • University of Colorado Health Science Center- Site Number : 8400001
    Aurora, Colorado, United States
    Recruiting
  • Advanced Neurosciences Research- Site Number : 8400148
    Fort Collins, Colorado, United States
    Recruiting
  • Yale University- Site Number : 8400081
    New Haven, Connecticut, United States
    Recruiting
  • Hartford Healthcare Medical Group- Site Number : 8400069
    Norwich, Connecticut, United States
    Recruiting
  • New England Institute for Clinical Research- Site Number : 8400114
    Stamford, Connecticut, United States
    Recruiting
  • Georgetown University Hospital- Site Number : 8400044
    Washington D.C., District of Columbia, United States
    Recruiting
  • Neurology of Central Florida Research Center, LLC- Site Number : 8400147
    Altamonte Springs, Florida, United States
    Recruiting
  • First Choice Neurology- Site Number : 8400169
    Boca Raton, Florida, United States
    Recruiting
  • MS & Neuromuscular Center of Excellence- Site Number : 8400015
    Clearwater, Florida, United States
    Recruiting
  • Beth Israel Deaconess Medical Center- Site Number : 8400041
    Fort Myers, Florida, United States
    Recruiting
  • University of Florida Health- Site Number : 8400054
    Gainesville, Florida, United States
    Recruiting
  • Mayo Clinic- Site Number : 8400093
    Jacksonville, Florida, United States
    Recruiting
  • Neurology Associates, PA- Site Number : 8400010
    Maitland, Florida, United States
    Recruiting
  • University of Miami- Site Number : 8400177
    Miami, Florida, United States
    Recruiting
  • Orlando Health Neuroscience Institute- Site Number : 8400060
    Orlando, Florida, United States
    Recruiting
  • Axiom Clinical Research of Florida- Site Number : 8400049
    Tampa, Florida, United States
    Recruiting
  • University of South Florida- Site Number : 8400013
    Tampa, Florida, United States
    Recruiting
  • Premiere Research Institute at Palm Beach Neurology- Site Number : 8400105
    West Palm Beach, Florida, United States
    Recruiting
  • Savannah Neurology Specialists- Site Number : 8400061
    Savannah, Georgia, United States
    Recruiting
  • Joi Life Wellness Group LLC- Site Number : 8400192
    Smyrna, Georgia, United States
    Recruiting
  • Rush University Medical Center- Site Number : 8400102
    Chicago, Illinois, United States
    Recruiting
  • University of Chicago Biological Science/Neurology (The) University of Chicago Medical Center)- Site Number : 8400055
    Chicago, Illinois, United States
    Recruiting
  • Consultants In Neurology- Site Number : 8400020
    Northbrook, Illinois, United States
    Recruiting
  • Springfield Clinic, LLP- Site Number : 8400043
    Springfield, Illinois, United States
    Recruiting
  • Neuroscience Institute Center- Site Number : 8400053
    Merrillville, Indiana, United States
    Recruiting
  • University Of Iowa Hospitals And Clinics- Site Number : 8400029
    Iowa City, Iowa, United States
    Recruiting
  • University of Kansas Medical Center- Site Number : 8400084
    Kansas City, Kansas, United States
    Recruiting
  • College Park Family Care Center- Site Number : 8400032
    Overland Park, Kansas, United States
    Recruiting
  • Baptist Health Lexington- Site Number : 8400149
    Lexington, Kentucky, United States
    Recruiting
  • Neuromedical Clinic of CENLA, LLC- Site Number : 8400159
    Alexandria, Louisiana, United States
    Recruiting
  • DelRicht Research- Site Number : 8400182
    Baton Rouge, Louisiana, United States
    Recruiting
  • Ochsner Clinic Foundation- Site Number : 8400027
    New Orleans, Louisiana, United States
    Recruiting
  • University of Maryland, Baltimore- Site Number : 8400185
    Baltimore, Maryland, United States
    Recruiting
  • Johns Hopkins University- Site Number : 8400080
    Baltimore, Maryland, United States
    Recruiting
  • International Neurorehabilitation Institute- Site Number : 8400089
    Lutherville, Maryland, United States
    Recruiting
  • Tufts Medical Center- Site Number : 8400003
    Boston, Massachusetts, United States
    Recruiting

+288 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.