Clinical trial Recruiting at 85 sites Phase 2 Interventional Ages 18 and up

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.

More Hidradenitis Suppurativa trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment144 (estimated)
SponsorSanofi
Industry-sponsored
Locations86 sites (Scottsdale, Arizona and 85 other locations)
StatusRecruiting
StartedDecember 29, 2025
Main results expectedSeptember 22, 2027
Study endsNovember 19, 2027
Registry record updatedOctober 16, 2026
Trial IDNCT07225569 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

  • 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
  • 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

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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.