SAR445399 treatment for adults with moderate to severe hidradenitis suppurativa
Official title: A Randomized, Double-blind, Placebo-controlled, Phase 2, Dose-finding Study to Investigate the Efficacy and Safety of SAR445399 in Participants With Moderate to Severe Hidradenitis Suppurativa
Run by Sanofi · NCT07225569 · Data updated 2026-11-12
This will test two doses of SAR445399 versus placebo in adults with moderate to severe hidradenitis suppurativa to see if it reduces abscesses and inflammatory nodules and is safe.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 144 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Locations | 86 sites (Scottsdale, Arizona and 85 other locations) |
| Status | Recruiting |
| Started | December 29, 2025 |
| Main results expected | September 22, 2027 |
| Study ends | November 19, 2027 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07225569 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with at least 6 months of hidradenitis suppurativa, lesions in two or more areas (one at Hurley Stage II or III), a baseline AN count ≥5, and prior inadequate response or intolerance to oral antibiotics are the intended participants.
✕Probably not a fit
People with only mild hidradenitis suppurativa, fewer than 5 abscesses/inflammatory nodules at baseline, or those unable to attend frequent clinic visits or stop prohibited therapies are unlikely to 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 randomized, double-blind, placebo-controlled Phase 2 dose-finding trial comparing two doses of SAR445399 to placebo in adults with moderate to severe hidradenitis suppurativa. Participants will be treated for 32 weeks (16-week double-blind period followed by a 16-week blinded extension) and followed for up to 46 weeks with a total of 16 visits. Key entry requirements include at least 6 months of HS, lesions in two or more anatomical areas with at least one site Hurley Stage II or III, and a baseline abscess and inflammatory nodule (AN) count of ≥5. The study enrolls at clinical trial sites in the United States and is sponsored by Sanofi.
Why it matters
Potential benefit: If successful, SAR445399 could reduce lesion counts and flares and improve symptoms and quality of life for people with moderate to severe hidradenitis suppurativa.
How similar studies have gone: Other biologic treatments such as TNF inhibitors have shown benefit in hidradenitis suppurativa, but SAR445399 is a novel agent and its efficacy and optimal dose are not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: * Participants with a history of signs and symptoms consistent with 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 inguino-crural fold), with at least 1 body site being Hurley Stage II or III. * Participant must have a total abscess and inflammatory nodule (AN) count of ≥5 at the Baseline Visit. * Participant must have had an inadequate response to a trial of an oral antibiotic for treatment of HS, exhibited recurrence after discontinuation of antibiotics or 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 in the biologic-naïve stratum must be naïve to any prior use of biologic therapy with a potential impact on HS; Participants in the biologic-experienced stratum must have documented history of use of at least one dose of biologic therapy for HS. 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 or suspected current immunosuppression * History of solid organ transplant or stem cell transplant. * History of splenectomy * 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. * Any other medical condition or severe, concomitant illness, including psychiatric illness and substance abuse, that may present an unreasonable risk to the study participants, make participants unreliable or may interfere with study assessments 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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Scottsdale Clinical Trials- Site Number : 8400006
Scottsdale, Arizona, United States Recruiting -
Encore Medical Research of Boynton Beach- Site Number : 8400005
Boynton Beach, Florida, United States Recruiting -
FXM Clinical Research - Fort Lauderdale- Site Number : 8400013
Fort Lauderdale, Florida, United States Recruiting -
Alliance for Multispeciality Research - Fort Myers- Site Number : 8400007
Fort Myers, Florida, United States Recruiting -
Encore Medical Research - Hollywood- Site Number : 8400004
Hollywood, Florida, United States Recruiting -
Fxm Clinical Research/Fax Pharma Clinical Research- Site Number : 8400014
Miami, Florida, United States Recruiting
Show 44 more locations
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Florida International Research Center- Site Number : 8400002
Miami, Florida, United States Recruiting -
Florida Research Center- Site Number : 8400009
Miami, Florida, United States Recruiting -
Advanced Clinical Research Institute- Site Number : 8400021
Tampa, Florida, United States Recruiting -
Cleaver Medical Group Dermatology- Site Number : 8400008
Cumming, Georgia, United States Recruiting -
First Georgia Physician Group- Site Number : 8400033
Fayetteville, Georgia, United States Recruiting -
NorthShore University Health System - Endeavor Health Medical Group - Skokie - Woods Drive- Site Number : 8400019
Skokie, Illinois, United States Recruiting -
Deaconess Clinic - Downtown Fourth Street- Site Number : 8400029
Evansville, Indiana, United States Recruiting -
Dermatology Specialists Research (DS Research) - Kentucky- Site Number : 8400026
Louisville, Kentucky, United States Recruiting -
Beth Israel Deaconess Medical Center - Boston- Site Number : 8400001
Boston, Massachusetts, United States Recruiting -
University Health Dermatology- Site Number : 8400018
Kansas City, Missouri, United States Recruiting -
Equity Medical (LLC)- Site Number : 8400010
The Bronx, New York, United States Recruiting -
Essential Medical Research- Site Number : 8400015
Tulsa, Oklahoma, United States Recruiting -
Elligo Health Research/The Woodlands Dermatology Associates- Site Number : 8400020
The Woodlands, Texas, United States Recruiting -
Virginia Dermatology & Skin Cancer Center- Site Number : 8400024
Norfolk, Virginia, United States Recruiting -
Investigational Site Number : 0320001
Buenos Aires, Argentina Recruiting -
Investigational Site Number : 0320002
Buenos Aires, Argentina Recruiting -
Investigational Site Number : 0320003
Buenos Aires, Argentina Recruiting -
Investigational Site Number : 0360001
Sydney, New South Wales, Australia Recruiting -
Investigational Site Number : 0360003
Woodville, South Australia, Australia Recruiting -
Investigational Site Number : 0360002
South Perth, Western Australia, Australia Recruiting -
Investigational Site Number : 0560002
Brussels, Belgium Recruiting -
Investigational Site Number : 0560001
Ghent, Belgium Recruiting -
Investigational Site Number : 0560004
Liège, Belgium Recruiting -
Centro de Pesquisas da Clínica IBIS- Site Number : 0760001
Salvador, Estado de Bahia, Brazil Recruiting -
Hospital das Clinicas da UNICAMP- Site Number : 0760002
Campinas, São Paulo, Brazil Recruiting -
Hospital Israelita Albert Einstein- Site Number : 0760004
São Paulo, Brazil Recruiting -
Investigational Site Number : 1240016
Winnipeg, Manitoba, Canada Recruiting -
Investigational Site Number : 1240015
Mississauga, Ontario, Canada Recruiting -
Investigational Site Number : 1240001
Richmond Hill, Ontario, Canada Recruiting -
Investigational Site Number : 1240014
Toronto, Ontario, Canada Recruiting -
Investigational Site Number : 1240010
Montreal, Quebec, Canada Recruiting -
Investigational Site Number : 1240002
Sherbrooke, Quebec, Canada Recruiting -
Investigational Site Number : 1240013
Regina, Saskatchewan, Canada Recruiting -
Investigational Site Number : 1240011
Saskatoon, Saskatchewan, Canada Recruiting -
Investigational Site Number : 1560001
Beijing, China Recruiting -
Investigational Site Number : 1560003
Changsha, China Recruiting -
Investigational Site Number : 1560006
Hangzhou, China Recruiting -
Investigational Site Number : 1560004
Shanghai, China Recruiting -
Investigational Site Number : 1560002
Wuhan, China Recruiting -
Investigational Site Number : 2500005
Lille, France Recruiting -
Investigational Site Number : 2500006
Lille, France Recruiting -
Investigational Site Number : 2500002
Nantes, France Recruiting -
Investigational Site Number : 2500004
Paris, France Recruiting -
Investigational Site Number : 2500003
Rouen, France Recruiting
+36 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.
-
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.