Overview
Sponsor-declared trial summary
Crohn's disease
To assess the long-term safety and tolerability of different doses of balinatunfib in participants with Crohn’s disease (CD) or ulcerative colitis (UC)
Key facts
- Sponsor
- Sanofi-Aventis Recherche & Developpement
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Digestive System Diseases [C06]
- Decision date (initial)
- 2026-03-09
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Sanofi-Aventis Recherche & Developpement
External identifiers
- EU CT number
- 2025-522511-42-00
- WHO UTN
- U1111-1324-1765
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
To assess the long-term safety and tolerability of different doses of balinatunfib in participants with Crohn’s disease (CD) or ulcerative colitis (UC)
Secondary objectives 2
- To evaluate the long-term efficacy of different doses of balinatunfib in participants with CD
- To evaluate the long-term efficacy of different doses of balinatunfib in participants with UC
Conditions and MedDRA coding
Crohn's disease
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | PT | 10009900 | Colitis ulcerative | 100000004856 |
| 28.0 | PT | 10011401 | Crohn´s disease | 100000004856 |
Regulatory references
- Plan to share IPD
- Yes
- IPD plan description
- Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-512633-32-00 | A Phase 2, multinational, multicenter, randomized, double blind, placebo controlled, dose-ranging study to evaluate the efficacy and safety of SAR441566 in adults with moderate to severe Crohn’s disease. | Sanofi-Aventis Recherche & Developpement |
| 2024-518781-26-00 | A Phase 2, multinational, multicenter, randomized, double-blind, placebo-controlled, dose-ranging study to evaluate the efficacy and safety of SAR441566 in adults with moderate to severe ulcerative colitis | Sanofi-Aventis Recherche & Developpement |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- Participants with Crohn's Disease (CD) or ulcerative colitis (UC) who completed treatment at Week 52 of the SPECIFI-CD (DRI18212) or SPECIFI-UC (DRI17822) studies, respectively: · Participants with CD 1. who complete double-blinded treatment at Week 52 of SPECIFI-CD (DRI18212) study; 2. who complete open label treatment and achieve the appropriate outcomes at Week 52 of SPECIFI-CD (DRI18212) study. OR · Participants with UC 1. who complete double-blinded treatment at Week 52 of SPECIFI-UC (DRI17822) study; 2. who complete open label treatment and achieve the appropriate outcomes at Week 52 of the SPECIFI-UC (DRI17822) study.
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Women participants should not be pregnant or breastfeeding.
Exclusion criteria 6
- Participants with CD who develop a new medical condition precluding participation as described in Exclusion criteria of SPECIFI-CD (DRI18212) clinical trial protocol.
- Participants with UC who develop a new medical condition precluding participation as described in Exclusion criteria of SPECIFI-UC (DRI17822) clinical trial protocol.
- Participants who developed a new medical condition or a change in status of an established medical condition which (per Investigator’s medical judgment) would adversely affect the participation in this study or would require permanent IMP discontinuation.
- Participants who permanently discontinued IMP during the parent study or temporarily discontinued IMP for more than 14 consecutive calendar days by the time of Day 1 of LTS19689.
- Participants who, during their participation in the parent study, developed an adverse event (AE) or a serious adverse event (SAE) deemed related to balinatunfib, which in the opinion of the Investigator could indicate that continued treatment with balinatunfib may present an unreasonable risk for the participant.
- Participants who in the parent study had documented nonadherence to IMP or to standard therapies for CD or UC, or who used a prohibited medication concomitant with IMP or during a temporary IMP discontinuation period.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Number of participants with Crohn's Disease with treatment emergent adverse events (TEAEs), serious adverse events (SAEs) and adverse events of special interest (AESIs)
- Number of participants with ulcerative colitis with treatment emergent adverse events (TEAEs), serious adverse events (SAEs) and adverse events of special interest (AESIs)
Secondary endpoints 6
- Proportion of participants with Crohn's Disease in endoscopic remission based on simple endoscopic score for Crohn’s disease (SES-CD)
- Proportion of participants with Crohn's Disease in endoscopic remission based on simple endoscopic score for Crohn’s disease (SES-CD)
- Proportion of participants with Crohn's Disease in clinical remission based on Crohn’s disease activity index (CDAI)
- Proportion of participants with Crohn's Disease in clinical remission based on Crohn’s disease activity index (CDAI)
- Proportion of participants with ulcerative colitis in clinical remission based on modified Mayo Score (mMS)
- Proportion of participants with ulcerative colitis in clinical remission based on modified Mayo Score (mMS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD10920445 · Product
- Active substance
- Balinatunfib
- Substance synonyms
- (7R,14R)-11-[2-(1-aminocyclobutyl)pyrimidin-5-yl]-1-(difluoromethoxy)-6-methyl-6,7-dihydro-7,14-methanobenzimidazo[1,2-b][2,5]benzodiazocin-5(14H)-one, SAR441566
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 104 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- SANOFI AVENTIS RECHERCHE ET DEVELOPPEMENT (SAR)
- Paediatric formulation
- No
- Orphan designation
- No
Placebo 1
Not the same excipients as test
N/A · Product
- Other product name
- N/A
- Pharmaceutical form
- N/A
- Route of administration
- ORAL
- Max daily dose
- 00 mg milligram(s)
- Max total dose
- 00 mg milligram(s)
- Max treatment duration
- 104 Week(s)
- ATC code
- N/A — N/A
- Marketing authorisation
- N/A
- MA holder
- N/A
- MA country
- Iceland
- Paediatric formulation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Sanofi-Aventis Recherche & Developpement
- Sponsor organisation
- Sanofi-Aventis Recherche & Developpement
- Address
- 82 Avenue Raspail
- City
- Gentilly
- Postcode
- 94250
- Country
- France
Scientific contact point
- Organisation
- Sanofi-Aventis Recherche & Developpement
- Contact name
- Clinical Sciences and Operations
Public contact point
- Organisation
- Sanofi-Aventis Recherche & Developpement
- Contact name
- Clinical Sciences and Operations
Third parties 5
| Organisation | City, country | Duties |
|---|---|---|
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Other |
| Endpoint Clinical Inc. ORG-100040567
|
Raleigh, United States | Interactive response technologies (IRT) |
| ESMS Global Limited ORG-100023149
|
London, United Kingdom | Other |
| Alimentiv Inc. ORG-100006515
|
London, Canada | Other |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other, Other |
Locations
14 EU/EEA countries · 68 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruitment pending | 2 | 1 |
| Belgium | Authorised, recruitment pending | 2 | 2 |
| Bulgaria | Authorised, recruitment pending | 8 | 4 |
| Croatia | Authorised, recruitment pending | 10 | 5 |
| Czechia | Authorised, recruitment pending | 15 | 7 |
| France | Authorised, recruitment pending | 8 | 5 |
| Germany | Authorised, recruitment pending | 15 | 1 |
| Greece | Authorised, recruitment pending | 5 | 3 |
| Hungary | Authorised, recruitment pending | 14 | 8 |
| Italy | Authorised, recruitment pending | 21 | 12 |
| Netherlands | Authorised, recruitment pending | 3 | 3 |
| Poland | Authorised, recruitment pending | 18 | 10 |
| Romania | Authorised, recruitment pending | 8 | 5 |
| Spain | Authorised, recruitment pending | 2 | 2 |
| Rest of world
India, Korea, Republic of, Egypt, Canada, China, United States, Japan, Australia, Chile, Georgia, Argentina, Mauritius, Brazil, Turkey, South Africa
|
— | 240 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 82 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | d1-rdct-protocol-el-2025-522511-42 | 1 |
| Protocol (for publication) | d1-rdct-protocol-en-2025-522511-42 | 1 |
| Protocol (for publication) | d4-patient-facing-material-copyright-en-2025-522511-42 | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangement-cs | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-bg | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1.0 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-en | 2 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-fr | 1 |
| Recruitment arrangements (for publication) | K1-recruitment-arrangements-pl | 1 |
| Subject information and informed consent form (for publication) | IN_Placeholder Transparency document | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-future-research-es | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-future-research-hr | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-future-use-cs | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-future-use-de | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-genetic-hu | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-greenphire-de | 1.0 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-cs | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-de | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-de | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-el | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-es | 1.2 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-fr | 2 |
| Subject information and informed consent form (for publication) | L1-sis-icf-main-nl | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-optional-procedures-cs | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-optional-procedures-de | 1.0 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-bg | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-cs | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-el | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-en | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-fr | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-hr | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-it | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-nl | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-pl | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-partner-pregnancy-ro | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-bg | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-en | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-fr | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-hr | 1.2 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-hu | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-it | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-nl | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-pl | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-patient-ro | 1.1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-pregnancy-de | 1.0 |
| Subject information and informed consent form (for publication) | L1-sis-icf-pregnancy-es | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-pregnancy-fr | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-pregnancy-hu | 1.0 |
| Subject information and informed consent form (for publication) | L1-sis-icf-pregnancy-nl | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-privacy-data-cs | 1 |
| Subject information and informed consent form (for publication) | L1-sis-icf-privacy-it | 2 |
| Subject information and informed consent form (for publication) | L2-other-subject-information-general-practitioner-letter-it | 1 |
| Subject information and informed consent form (for publication) | L2-other-subject-information-material-greenphire-dpn-hr | 1.3 |
| Subject information and informed consent form (for publication) | L2-other-subject-information-material-patient-card-double-blind-hu | 1 |
| Subject information and informed consent form (for publication) | L2-other-subject-information-material-patient-card-open-label-hu | 1 |
| Subject information and informed consent form (for publication) | L3-other-sponsor-statement-en | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-bg-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-cs-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-de-AT-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-de-BE-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-de-DE-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-el-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-en-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-es-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-fr-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-fr-BE-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-hr-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-hu-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-it-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-nl-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-nl-BE-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-pl-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-lay-protocol-synopsis-ro-2025-522511-42 | 1 |
| Synopsis of the protocol (for publication) | d1-rdct-scientific-protocol-synopsis-de-AT-2025-522511-42 | 1 |
Application history
2 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-10-31 | Germany | Acceptable with conditions 2026-03-06
|
2026-03-06 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2026-03-24 | Germany | Acceptable 2026-04-09
|
2026-04-09 |