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A Study to Evaluate Efficacy and Safety of SAR441566 in Adults With Plaque Psoriasis

A Phase 2, International, Multicenter, Randomized, Double-blind, Placebo-controlled, Dose-ranging Study of Efficacy and Safety of SAR441566 in Adults With Moderate to Severe Plaque Psoriasis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06073119
Acronym
SPECIFI-PSO
Enrollment
221
Registered
2023-10-10
Start date
2023-10-26
Completion date
2024-12-11
Last updated
2025-11-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Psoriasis

Brief summary

This was a Phase 2, international, multicenter, randomized, double-blind, placebo-controlled, dose-ranging, 12-week study. It was designed to assess the therapeutic dose, efficacy, and safety of treatment with SAR441566 in male and female adults with moderate to severe plaque psoriasis. Study details included a screening period (4 weeks and not less than 11 days before Day 1), a treatment period (12 weeks ± 3 days) and a post-treatment period (safety follow-up) (4 weeks ± 3 days). The total number of study visits was 7.

Detailed description

The overall study duration for each participant was up to 149 days.

Interventions

Tablet

DRUGPlacebo

Tablet

Sponsors

Sanofi
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Participants with moderate to severe plaque psoriasis for at least 6 months, meeting the following criteria at screening and D1 (prior to randomization): * PASI ≥ 12 points; * and sPGA score ≥ 3 points; * and BSA score ≥ 10% * Had to be a candidate for phototherapy or systemic therapy. * Total body weight ≥ 50 kg (110 lb) and body mass index (BMI) within the range \[18 - 35\] kg/m\^2 (inclusive)

Exclusion criteria

* Other forms of psoriasis than plaque psoriasis, such as guttate psoriasis, psoriatic arthritis, or pustular psoriasis. Nail psoriasis was accepted for inclusion. * Plaque psoriasis was restricted to scalp, palms, soles, or flexures only. * Any other skin diseases that could interfere with psoriasis evaluation or treatment response (eg, atopic dermatitis, fungal or bacterial superinfection) * Other immunologic (autoimmune or inflammatory) disorder, except medically controlled diabetes or thyroid disorder as per Investigator's judgement * History of recurrent or recent serious infection (eg, pneumonia, septicemia), or infection(s) requiring hospitalization or treatment with IV antiinfectives (antibiotics, antivirals, antifungals, antihelminthics) within 30 days prior to D1, or infections(s) requiring oral antiinfectives (antibiotics, antivirals, antifungals, antihelminthics) within 14 days prior to D1 * Known history of or suspected significant current immunosuppression, including history of invasive opportunistic or helminthic infections despite infection resolution or otherwise recurrent infections of abnormal frequency or prolonged duration * Participant with personal or family history of long QT syndrome * History of moderate to severe congestive heart failure (New York Heart Association Class III or IV), or recent cerebrovascular accident, or any other condition in the opinion of the Investigator that would have put the participant at risk by participation in the protocol * History of solid organ transplant * History of alcohol or drug abuse within the past 2 years * History of diagnosis of demyelinating disease such as but not limited to: * Multiple Sclerosis * Acute Disseminated Encephalomyelitis * Balo's Disease (Concentric Sclerosis) * Charcot-Marie-Tooth Disease * Guillain-Barre Syndrome * Human T-lymphotropic virus 1 Associated Myelopathy * Neuromyelitis Optica (Devic's Disease) * Planned surgery during the treatment period * Active malignancy, lymphoproliferative disease, or malignancy in remission for less than 5 years, except adequately treated (cured) localized carcinoma in situ of the cervix or ductal breast, or squamous cell carcinoma, or basal cell carcinoma of the skin * Any live (attenuated) vaccine within 6 weeks prior to randomization (eg, varicella zoster vaccine, oral polio, rabies) or planned to receive one during the trial The above information was not intended to contain all considerations relevant to a potential participation in a clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12Baseline (Day 1) and Week 12PASI is linear combination of percent of surface area of skin that is affected and severity of erythema(E),induration(i),desquamation(D) over 4 body regions: head(h),trunk(t),upper extremities(u),lower extremities(l). The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range:0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax:0=no involvement,1=\<10% to 6=90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: PASI = 0.1(Eh+ih+Dh)Ah + 0.3(Et+it+Dt)At + 0.2(Eu+iu+Du)Au + 0.4(El+il+Dl)Al. PASI score range:0 (no disease) to 72 (maximal disease);higher scores: greater psoriasis severity. Percentage of participants with PASI75 at Week 12 is presented.

Secondary

MeasureTime frameDescription
Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12Baseline (Day 1) to Week 12PASI is linear combination of percent of surface area of skin that is affected and severity of E, i, D over 4 body regions: h, t, u, l. The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range: 0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax: 0= no involvement,1= \<10% to 6 =90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: PASI = 0.1(Eh+ih+Dh)Ah + 0.3(Et+it+Dt)At + 0.2(Eu+iu+Du)Au + 0.4(El+il+Dl)Al. The PASI score ranges from 0 (no disease) to 72 (maximal disease); higher scores indicate greater psoriasis severity. Baseline was defined as last available value before the first dose of study treatment.
Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12Baseline (Day 1) and Week 12sPGA is 5-point score based on average thickness,erythema,and scaling of all psoriatic lesions.Score ranges:E:0(normal) to 4(bright to deep red coloration of lesions); i (plaque elevation):0(none) to 4(severe thickening with hard edges; D:0(no scaling) to 3(moderate scaling).Overall scoring: average of E,i,D;range:0(clear)= 0 for all 3 symptoms; 1(almost clear)=mean \>0, \<1.5, normal to pink coloration, just detectable(possible slight elevation),no to minimal focal scaling; 2(mild)= mean \>= 1.5, \<2.5, pink to light red coloration, mild thickening, predominantly fine scaling; 3(moderate)= mean \>=2.5,\<3.5, dull to bright red coloration, clearly distinguishable to moderate thickening, moderate scaling; 4(severe)= mean \>=3.5,bright to deep dark red coloration,severe thickening with hard edges,severe coarse scaling covering almost all or all lesions.Lower score:less body coverage,with 0:complete clearance and 1:minimal disease. Total participants who received score of 0 and 1 are reported.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsFrom first dose of study treatment (Day 1) up to 5 days post last dose of study treatment, up to 102 daysAn AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were AEs that developed, worsened or became serious during the TE period. An AESI was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required.
Pre-Dose Plasma Concentration of SAR4415661 hour pre-dose on Weeks 2, 4, 8 and 12Blood samples were collected at indicated timepoints for the assessment of pre-dose plasma concentration of SAR441566.
Post-Dose Plasma Concentration of SAR4415662.5 to 3.5 hours post-dose on Day 1, Weeks 2, 4, 8 and 12Blood samples were collected at indicated timepoints for the assessment of post-dose plasma concentration of SAR441566.

Countries

Argentina, Bulgaria, Canada, Chile, China, Czechia, Georgia, Germany, Hungary, Japan, Mauritius, Poland, Portugal, Spain, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

The study was conducted at 51 centers in 17 countries. A total of 292 participants were screened from 26 October 2023 to 24 July 2024, of which 71 were screen failures. Screen failures were mainly due to not meeting the eligibility criteria.

Pre-assignment details

221 participants were randomized in 2 different strata: naïve targeted immunotherapy population (NTIP) and experienced targeted immunotherapy population (ETIP). 147 participants were randomized into NTIP in 1:1:1:1:1:1 ratio to receive either placebo or SAR441566 at 200 mg BID, 100 mg BID, 200 mg QD, 100 mg QD or 50 mg QD. 74 participants were randomized into ETIP in 2:2:2:1 ratio to receive either placebo or SAR441566 at 200 mg BID, 200 mg QD, 100 mg QD. ETIP was used for exploratory analysis.

Participants by arm

ArmCount
Placebo
Participants received placebo matched to SAR441566 orally from Day 1 up to 12 weeks.
35
SAR441566 200 mg BID
Participants received 200 mg BID of SAR441566 orally from Day 1 up to 12 weeks.
47
SAR441566 100 mg BID
Participants received 100 mg BID of SAR441566 orally from Day 1 up to 12 weeks.
24
SAR441566 200 mg QD
Participants received 200 mg QD of SAR441566 orally from Day 1 up to 12 weeks.
46
SAR441566 100 mg QD
Participants received 100 mg QD of SAR441566 orally from Day 1 up to 12 weeks.
45
SAR441566 50 mg QD
Participants received 50 mg QD of SAR441566 orally from Day 1 up to 12 weeks.
24
Total221

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAdverse Event130010
Overall StudyNon-compliance with study schedule100010
Overall StudyOther241010
Overall StudyWithdrawal by Subject443531

Baseline characteristics

CharacteristicTotalSAR441566 100 mg QDSAR441566 200 mg QDSAR441566 100 mg BIDSAR441566 200 mg BIDPlaceboSAR441566 50 mg QD
Age, Continuous44.3 years
STANDARD_DEVIATION 13.2
46.8 years
STANDARD_DEVIATION 12.9
45.4 years
STANDARD_DEVIATION 13.9
45.5 years
STANDARD_DEVIATION 11
43.5 years
STANDARD_DEVIATION 13.7
44.0 years
STANDARD_DEVIATION 13
38.4 years
STANDARD_DEVIATION 13.2
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
32 Participants4 Participants8 Participants6 Participants7 Participants5 Participants2 Participants
Race (NIH/OMB)
Black or African American
6 Participants2 Participants0 Participants2 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
3 Participants2 Participants1 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants
Race (NIH/OMB)
White
176 Participants37 Participants37 Participants14 Participants38 Participants29 Participants21 Participants
Sex: Female, Male
Female
75 Participants13 Participants12 Participants10 Participants14 Participants13 Participants13 Participants
Sex: Female, Male
Male
146 Participants32 Participants34 Participants14 Participants33 Participants22 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 350 / 470 / 240 / 460 / 450 / 24
other
Total, other adverse events
12 / 3527 / 479 / 2426 / 466 / 458 / 24
serious
Total, serious adverse events
1 / 351 / 470 / 240 / 461 / 450 / 24

Outcome results

Primary

Percentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 12

PASI is linear combination of percent of surface area of skin that is affected and severity of erythema(E),induration(i),desquamation(D) over 4 body regions: head(h),trunk(t),upper extremities(u),lower extremities(l). The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range:0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax:0=no involvement,1=\<10% to 6=90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: PASI = 0.1(Eh+ih+Dh)Ah + 0.3(Et+it+Dt)At + 0.2(Eu+iu+Du)Au + 0.4(El+il+Dl)Al. PASI score range:0 (no disease) to 72 (maximal disease);higher scores: greater psoriasis severity. Percentage of participants with PASI75 at Week 12 is presented.

Time frame: Baseline (Day 1) and Week 12

Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1220.0 percentage of participants
SAR441566 200 mg BIDPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1244.0 percentage of participants
SAR441566 100 mg BIDPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1250.0 percentage of participants
SAR441566 200 mg QDPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1258.3 percentage of participants
SAR441566 100 mg QDPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1228.0 percentage of participants
SAR441566 50 mg QDPercentage of Participants With a 75% or Greater Psoriasis Area and Severity Index (PASI) Score Reduction From Baseline (PASI75) at Week 1233.3 percentage of participants
p-value: 0.087495% CI: [-2.74, 45.98]Cochran-Mantel-Haenszel
p-value: 0.018595% CI: [5.71, 54.83]Cochran-Mantel-Haenszel
p-value: 0.007795% CI: [10.62, 58.84]Cochran-Mantel-Haenszel
p-value: 0.457695% CI: [-14.72, 32.4]Cochran-Mantel-Haenszel
p-value: 0.305195% CI: [-11.38, 36.72]Cochran-Mantel-Haenszel
Secondary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEs

An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether considered related to the study treatment. An SAE was defined as any untoward medical occurrence that, at any dose, resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were AEs that developed, worsened or became serious during the TE period. An AESI was an AE (serious or non-serious) of scientific and medical concern specific to the Sponsor's product or program, for which ongoing monitoring and immediate notification by the Investigator to the Sponsor was required.

Time frame: From first dose of study treatment (Day 1) up to 5 days post last dose of study treatment, up to 102 days

Population: The safety population included all randomized participants who took at least 1 dose of study treatment, regardless of the amount of treatment administered.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation1 Participants
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE1 Participants
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE12 Participants
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal0 Participants
PlaceboNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI1 Participants
SAR441566 200 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE1 Participants
SAR441566 200 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation5 Participants
SAR441566 200 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE27 Participants
SAR441566 200 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal1 Participants
SAR441566 200 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI4 Participants
SAR441566 100 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE0 Participants
SAR441566 100 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation0 Participants
SAR441566 100 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal0 Participants
SAR441566 100 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI0 Participants
SAR441566 100 mg BIDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE9 Participants
SAR441566 200 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI1 Participants
SAR441566 200 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE26 Participants
SAR441566 200 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE0 Participants
SAR441566 200 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation1 Participants
SAR441566 200 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal2 Participants
SAR441566 100 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation1 Participants
SAR441566 100 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE7 Participants
SAR441566 100 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal0 Participants
SAR441566 100 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE1 Participants
SAR441566 100 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI0 Participants
SAR441566 50 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE8 Participants
SAR441566 50 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment discontinuation0 Participants
SAR441566 50 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TESAE0 Participants
SAR441566 50 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAE leading to study treatment withdrawal0 Participants
SAR441566 50 mg QDNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs), Treatment-Emergent Adverse Events of Special Interest (TEAESIs), Study Treatment Discontinuation and Study Withdrawals Due to TEAEsAny TEAESI0 Participants
Secondary

Percentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 12

sPGA is 5-point score based on average thickness,erythema,and scaling of all psoriatic lesions.Score ranges:E:0(normal) to 4(bright to deep red coloration of lesions); i (plaque elevation):0(none) to 4(severe thickening with hard edges; D:0(no scaling) to 3(moderate scaling).Overall scoring: average of E,i,D;range:0(clear)= 0 for all 3 symptoms; 1(almost clear)=mean \>0, \<1.5, normal to pink coloration, just detectable(possible slight elevation),no to minimal focal scaling; 2(mild)= mean \>= 1.5, \<2.5, pink to light red coloration, mild thickening, predominantly fine scaling; 3(moderate)= mean \>=2.5,\<3.5, dull to bright red coloration, clearly distinguishable to moderate thickening, moderate scaling; 4(severe)= mean \>=3.5,bright to deep dark red coloration,severe thickening with hard edges,severe coarse scaling covering almost all or all lesions.Lower score:less body coverage,with 0:complete clearance and 1:minimal disease. Total participants who received score of 0 and 1 are reported.

Time frame: Baseline (Day 1) and Week 12

Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.

ArmMeasureValue (NUMBER)
PlaceboPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1224.0 percentage of participants
SAR441566 200 mg BIDPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1236.0 percentage of participants
SAR441566 100 mg BIDPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1254.2 percentage of participants
SAR441566 200 mg QDPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1258.3 percentage of participants
SAR441566 100 mg QDPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1236.0 percentage of participants
SAR441566 50 mg QDPercentage of Participants With Static Psoriasis Global Assessment (sPGA) Score 0 (Complete Clearance) or 1 (Minimal Disease) at Week 1250.0 percentage of participants
Secondary

Percent Change From Baseline in Psoriasis Area and Severity Index to Week 12

PASI is linear combination of percent of surface area of skin that is affected and severity of E, i, D over 4 body regions: h, t, u, l. The signs of severity, E, i and D of lesions are assessed using numeric scale for which scores are made independently for each of the areas; range: 0 (complete lack of cutaneous involvement) to 4 (severest possible involvement). For each body area, percentage of considered body area covered by plaque psoriasis is translated into numerical value Ax: 0= no involvement,1= \<10% to 6 =90 to 100% involvement. These scores are noted Ah, At, Au, and Al in formula below. The PASI score is calculated according to the following formula: PASI = 0.1(Eh+ih+Dh)Ah + 0.3(Et+it+Dt)At + 0.2(Eu+iu+Du)Au + 0.4(El+il+Dl)Al. The PASI score ranges from 0 (no disease) to 72 (maximal disease); higher scores indicate greater psoriasis severity. Baseline was defined as last available value before the first dose of study treatment.

Time frame: Baseline (Day 1) to Week 12

Population: The NTIP included all randomized participants who never received targeted immunotherapy for psoriasis.

ArmMeasureValue (LEAST_SQUARES_MEAN)
PlaceboPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-40.65 percent change
SAR441566 200 mg BIDPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-63.42 percent change
SAR441566 100 mg BIDPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-60.56 percent change
SAR441566 200 mg QDPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-65.18 percent change
SAR441566 100 mg QDPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-60.84 percent change
SAR441566 50 mg QDPercent Change From Baseline in Psoriasis Area and Severity Index to Week 12-65.85 percent change
Secondary

Post-Dose Plasma Concentration of SAR441566

Blood samples were collected at indicated timepoints for the assessment of post-dose plasma concentration of SAR441566.

Time frame: 2.5 to 3.5 hours post-dose on Day 1, Weeks 2, 4, 8 and 12

Population: The PK population included all participants from the safety population with at least 1 post-baseline PK result with adequate documentation of dosing and sampling dates and times. Only those participants with data collected at specified timepoints are reported.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPost-Dose Plasma Concentration of SAR441566Week 12401.897 ng/mLStandard Deviation 191.133
PlaceboPost-Dose Plasma Concentration of SAR441566Day 1135.396 ng/mLStandard Deviation 77.175
PlaceboPost-Dose Plasma Concentration of SAR441566Week 2438.750 ng/mLStandard Deviation 243.198
PlaceboPost-Dose Plasma Concentration of SAR441566Week 4432.998 ng/mLStandard Deviation 224.552
PlaceboPost-Dose Plasma Concentration of SAR441566Week 8428.111 ng/mLStandard Deviation 291.601
SAR441566 200 mg BIDPost-Dose Plasma Concentration of SAR441566Day 158.449 ng/mLStandard Deviation 25.096
SAR441566 200 mg BIDPost-Dose Plasma Concentration of SAR441566Week 4176.800 ng/mLStandard Deviation 87.429
SAR441566 200 mg BIDPost-Dose Plasma Concentration of SAR441566Week 8183.570 ng/mLStandard Deviation 101.811
SAR441566 200 mg BIDPost-Dose Plasma Concentration of SAR441566Week 2151.108 ng/mLStandard Deviation 72.612
SAR441566 200 mg BIDPost-Dose Plasma Concentration of SAR441566Week 12150.990 ng/mLStandard Deviation 80.672
SAR441566 100 mg BIDPost-Dose Plasma Concentration of SAR441566Week 4184.854 ng/mLStandard Deviation 91.237
SAR441566 100 mg BIDPost-Dose Plasma Concentration of SAR441566Week 8222.750 ng/mLStandard Deviation 168.237
SAR441566 100 mg BIDPost-Dose Plasma Concentration of SAR441566Week 2158.463 ng/mLStandard Deviation 88.156
SAR441566 100 mg BIDPost-Dose Plasma Concentration of SAR441566Day 1132.462 ng/mLStandard Deviation 71.387
SAR441566 100 mg BIDPost-Dose Plasma Concentration of SAR441566Week 12153.229 ng/mLStandard Deviation 86.896
SAR441566 200 mg QDPost-Dose Plasma Concentration of SAR441566Week 1286.200 ng/mLStandard Deviation 41.862
SAR441566 200 mg QDPost-Dose Plasma Concentration of SAR441566Week 2115.275 ng/mLStandard Deviation 49.937
SAR441566 200 mg QDPost-Dose Plasma Concentration of SAR441566Day 159.010 ng/mLStandard Deviation 34.099
SAR441566 200 mg QDPost-Dose Plasma Concentration of SAR441566Week 489.428 ng/mLStandard Deviation 45.908
SAR441566 200 mg QDPost-Dose Plasma Concentration of SAR441566Week 8100.190 ng/mLStandard Deviation 59.421
SAR441566 100 mg QDPost-Dose Plasma Concentration of SAR441566Week 1242.877 ng/mLStandard Deviation 24.508
SAR441566 100 mg QDPost-Dose Plasma Concentration of SAR441566Day 133.008 ng/mLStandard Deviation 16.583
SAR441566 100 mg QDPost-Dose Plasma Concentration of SAR441566Week 445.145 ng/mLStandard Deviation 28.222
SAR441566 100 mg QDPost-Dose Plasma Concentration of SAR441566Week 851.175 ng/mLStandard Deviation 35.799
SAR441566 100 mg QDPost-Dose Plasma Concentration of SAR441566Week 256.667 ng/mLStandard Deviation 16.388
Secondary

Pre-Dose Plasma Concentration of SAR441566

Blood samples were collected at indicated timepoints for the assessment of pre-dose plasma concentration of SAR441566.

Time frame: 1 hour pre-dose on Weeks 2, 4, 8 and 12

Population: The pharmacokinetic (PK) population included all participants from the safety population with at least 1 post-baseline PK result with adequate documentation of dosing and sampling dates and times. Only those participants with data collected at specified timepoints are reported.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPre-Dose Plasma Concentration of SAR441566Week 8285.981 nanogram per milliliter (ng/mL)Standard Deviation 200.6
PlaceboPre-Dose Plasma Concentration of SAR441566Week 2289.714 nanogram per milliliter (ng/mL)Standard Deviation 178.652
PlaceboPre-Dose Plasma Concentration of SAR441566Week 4294.928 nanogram per milliliter (ng/mL)Standard Deviation 193.309
PlaceboPre-Dose Plasma Concentration of SAR441566Week 12242.188 nanogram per milliliter (ng/mL)Standard Deviation 151.416
SAR441566 200 mg BIDPre-Dose Plasma Concentration of SAR441566Week 4110.083 nanogram per milliliter (ng/mL)Standard Deviation 72.664
SAR441566 200 mg BIDPre-Dose Plasma Concentration of SAR441566Week 2115.745 nanogram per milliliter (ng/mL)Standard Deviation 79.341
SAR441566 200 mg BIDPre-Dose Plasma Concentration of SAR441566Week 1286.317 nanogram per milliliter (ng/mL)Standard Deviation 53.575
SAR441566 200 mg BIDPre-Dose Plasma Concentration of SAR441566Week 8101.216 nanogram per milliliter (ng/mL)Standard Deviation 63.1
SAR441566 100 mg BIDPre-Dose Plasma Concentration of SAR441566Week 271.126 nanogram per milliliter (ng/mL)Standard Deviation 33.287
SAR441566 100 mg BIDPre-Dose Plasma Concentration of SAR441566Week 1256.216 nanogram per milliliter (ng/mL)Standard Deviation 34.269
SAR441566 100 mg BIDPre-Dose Plasma Concentration of SAR441566Week 474.071 nanogram per milliliter (ng/mL)Standard Deviation 41.391
SAR441566 100 mg BIDPre-Dose Plasma Concentration of SAR441566Week 866.287 nanogram per milliliter (ng/mL)Standard Deviation 50.241
SAR441566 200 mg QDPre-Dose Plasma Concentration of SAR441566Week 232.581 nanogram per milliliter (ng/mL)Standard Deviation 18.09
SAR441566 200 mg QDPre-Dose Plasma Concentration of SAR441566Week 1230.711 nanogram per milliliter (ng/mL)Standard Deviation 22.277
SAR441566 200 mg QDPre-Dose Plasma Concentration of SAR441566Week 834.729 nanogram per milliliter (ng/mL)Standard Deviation 21.556
SAR441566 200 mg QDPre-Dose Plasma Concentration of SAR441566Week 431.011 nanogram per milliliter (ng/mL)Standard Deviation 18.041
SAR441566 100 mg QDPre-Dose Plasma Concentration of SAR441566Week 1214.650 nanogram per milliliter (ng/mL)Standard Deviation 10.029
SAR441566 100 mg QDPre-Dose Plasma Concentration of SAR441566Week 216.685 nanogram per milliliter (ng/mL)Standard Deviation 9.88
SAR441566 100 mg QDPre-Dose Plasma Concentration of SAR441566Week 417.089 nanogram per milliliter (ng/mL)Standard Deviation 10.061
SAR441566 100 mg QDPre-Dose Plasma Concentration of SAR441566Week 814.566 nanogram per milliliter (ng/mL)Standard Deviation 14.117

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026