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Hidradenitis SuppurativaPhase 2HS OBTAINNCT05849922

A Study to Test the Efficacy and Safety of SAR442970 in Adults With Hidradenitis Suppurativa

A Phase 2 study testing SAR442970 in people with Hidradenitis Suppurativa, run by Sanofi at 45 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This was a Phase 2 study in adult participants with moderate to severe hidradenitis suppurativa (HS). The purpose of the study was to evaluate the efficacy and safety of SAR442970 compared to placebo. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hidradenitis Suppurativa
What is being tested?
SAR442970
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
86 participants
Where
45 sitesin 15 countries
Study dates
6 Jun 2023to 9 Jan 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants with a history of signs and symptoms consistent with hidradenitis suppurativa (HS) for at least 1 year prior to Baseline.
  • Participants had to have HS lesions present in at least 2 distinct anatomic areas (eg, left and right axilla; or left axilla and left inguinocrural fold), one of which had to be Hurley Stage II or Hurley Stage III.
  • Participant had to have had an inadequate response to a trial of an oral antibiotic for treatment of HS, exhibited recurrence after discontinuation of antibiotics, demonstrated intolerance to antibiotics, or had a contraindication to oral antibiotics for treatment of their HS as assessed by the Investigator through participant interview and review of medical history.
  • Participants had to be either biologic and small molecule immunosuppressive-naïve or TNF-experienced.
  • Participant had to have a total abscess and inflammatory nodule (AN) count of ≥3 at the Baseline visit.
  • Participant had to have a draining tunnel count of ≤20 at the Baseline visit.
  • Participant had to have a C-reactive protein (CRP) >3 mg/L at the screening visit.
  • Participant who was a candidate for systemic treatment per Investigator's judgment.

Who cannot join

  • Any other active skin disease or condition (eg, bacterial, fungal or viral infection) that might have interfered with assessment of HS
  • History of recurrent or recent serious infection
  • Known history of or suspected significant current immunosuppression
  • History of solid organ transplant
  • History of splenectomy
  • History of moderate to severe congestive heart failure
Show all 17Show fewer
  • Receipt of a live vaccine 12 week prior to Baseline visit or receipt of a killed vaccine 2 weeks prior to Baseline visit
  • History of demyelinating disease (including myelitis) or neurologic symptoms suggestive of demyelinating disease
  • Participants with a history of malignancy or lymphoproliferative disease other than adequately treated or nonmetastatic squamous cell carcinoma, or nonmetastatic basal cell carcinoma of the skin that was excised and completely cured
  • Participants with a diagnosis of inflammatory conditions other than HS
  • Presence of active suicidal ideation, or positive suicide behavior or participant had a lifetime history of suicide attempt, or participant had had suicidal ideation in the past 6 months as indicated by a positive response using the screening or Baseline version of the Columbia-Suicide Severity Rating Scale (C-SSRS) or as assessed by the Investigator through participant interview and review of medical history
  • A history of an adverse event (AE) to anti-TNF therapy (examples included, but were not limited, to serum sickness or anaphylaxis) for an HS or non-HS indication that would contraindicate readministration of an anti-TNF class therapy
  • Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicated participation in the study
  • Female participants who were breastfeeding or considering becoming pregnant during the study
  • History (within last 2 years prior to Baseline) of prescription drug or substance abuse, including alcohol, considered significant by the Investigator
  • Laboratory exclusion criteria applied.
  • The above information was not intended to contain all considerations relevant to a potential participation in a clinical trial.

Trial locations and contacts

45 sites in 15 countries.

45 sites in 15 countries

United States6 sites
  • Center for Clinical Studies, LTD. LLP Site Number : 8400003

    Houston, Texas, 77004

  • Clinical Partners, LLC Site Number : 8400010

    Johnston, Rhode Island, 02919

  • Renstar Medical Research Site Number : 8400011

    Ocala, Florida, 34470

  • Medical Dermatology Specialists Site Number : 8400007

    Phoenix, Arizona, 85006

  • Advanced Medical Research PC Site Number : 8400002

    Sandy Springs, Georgia, 30328

  • ForCare Clinical Research Site Number : 8400006

    Tampa, Florida, 33613

Other trials in United States

Germany5 sites
  • Investigational Site Number : 2760005

    Berlin, 10117

  • Investigational Site Number : 2760008

    Bochum, 44791

  • Investigational Site Number : 2760002

    Frankfurt am Main, 60590

  • Investigational Site Number : 2760004

    Mainz, 55131

  • Investigational Site Number : 2760001

    Münster, 48149

Other trials in Germany

Spain5 sites
  • Investigational Site Number : 7240003

    Barcelona, Barcelona [Barcelona], 08041

  • Investigational Site Number : 7240005

    Córdoba, 14004

  • Investigational Site Number : 7240006

    Madrid, Madrid, Comunidad de, 28046

  • Investigational Site Number : 7240001

    Madrid / Madrid, Madrid, Comunidad de, 28007

  • Investigational Site Number : 7240004

    Manises, Valencia, 46940

Other trials in Spain

Canada4 sites
  • Investigational Site Number : 1240001

    Barrie, Ontario, L4M 7G1

  • Investigational Site Number : 1240002

    London, Ontario, N6H 5L5

  • Investigational Site Number : 1240004

    Newmarket, Ontario, L3Y 5G8

  • Investigational Site Number : 1240007

    Québec, G1V 4T3

Other trials in Canada

Poland4 sites
  • Investigational Site Number : 6160004

    Lodz, 90265

  • Investigational Site Number : 6160001

    Warsaw, Masovian Voivodeship, 02-507

  • Investigational Site Number : 6160003

    Wroclaw, 50-566

  • Investigational Site Number : 6160002

    Wroclaw, 51-685

Other trials in Poland

Chile3 sites
  • Investigational Site Number : 1520003

    Santiago, Reg Metropolitana de Santiago, 7580206

  • Investigational Site Number : 1520001

    Santiago, Reg Metropolitana de Santiago, 7640881

  • Investigational Site Number : 1520002

    Santiago, Reg Metropolitana de Santiago, 8420383

Other trials in Chile

Czechia3 sites
  • Investigational Site Number : 2030003

    Ostrava - Poruba, 70852

  • Investigational Site Number : 2030001

    Prague, 10034

  • Investigational Site Number : 2030002

    Praha 5 - Motol, 15006

Other trials in Czechia

France3 sites
  • Investigational Site Number : 2500001

    Lyon, 69003

  • Investigational Site Number : 2500002

    Nice, 06200

  • Investigational Site Number : 2500003

    Reims, 51100

Other trials in France

Italy3 sites
  • Investigational Site Number : 3800003

    Catania, 95123

  • Investigational Site Number : 3800001

    Milan, Lombardy, 20122

  • Investigational Site Number : 3800002

    Rozzano, Lombardy, 20089

Other trials in Italy

Australia2 sites
  • Investigational Site Number : 0360002

    Liverpool, New South Wales, 2170

  • Investigational Site Number : 0360003

    Woolloongabba, Queensland, 4102

Other trials in Australia

Greece2 sites
  • Investigational Site Number : 3000003

    Athens, 12462

  • Investigational Site Number : 3000001

    Athens, 16121

Other trials in Greece

Netherlands2 sites
  • Investigational Site Number : 5280001

    Groningen, 9713 GZ

  • Investigational Site Number : 5280003

    Rotterdam, 3015 GD

Other trials in Netherlands

Belgium1 site
  • Investigational Site Number : 0560001

    Leuven, 3000

Other trials in Belgium

Denmark1 site
  • Investigational Site Number : 2080001

    Roskilde, 4000

Other trials in Denmark

Sweden1 site
  • Investigational Site Number : 7520001

    Älvsjö, 125 44

Other trials in Sweden

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Proof-of-concept Study Assessing the Efficacy and Safety of an Anti-TNF-OX40L NANOBODY® Molecule, SAR442970, in Participants With Moderate to Severe Hidradenitis Suppurativa

This was a Phase 2 study in adult participants with moderate to severe hidradenitis suppurativa (HS). The purpose of the study was to evaluate the efficacy and safety of SAR442970 compared to placebo.

Read the detailed description

The study duration was up to 40 weeks.

Being tested
SAR442970, Placebo
Medical subject headings
Hidradenitis Suppurativa

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SAR442970Drug

    1 mL extractable volume of 150 mg/mL SAR442970 filled in 2 mL glass vial

  • PlaceboDrug

    1 mL extractable volume of placebo filled in 2 mL glass vial

Study groups in NCT05849922
Study groupRoleWhat they receive
SAR442970ExperimentalParticipants received SAR442970 once every two weeks (Q2W) in Period A (Day 1 to Week 16). Participants received SAR442970 Q2W in Period B (Up to Week 28).
Receives: Drug: SAR442970
PlaceboPlacebo comparatorParticipants received placebo Q2W in Period A (Day 1 to Week 16). Participants received SAR442970 Q2W in Period B (Up to Week 28).
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Period A (DB Period): Percentage of Biologic and Small Molecule Immunosuppressive-Naïve Participants Who Achieved Hidradenitis Suppurativa Clinical Response (HiSCR50) at Week 16

    The HiSCR50 was used for assessing HS treatment effectiveness in controlling inflammatory manifestations in the population. HiSCR50 was defined as >=50% reduction from baseline in the total abscess and inflammatory nodule (AN) count, with no increase from baseline in abscess or draining tunnel count. Baseline was defined as the last available value before the first dose of DB study drug. Percentages are rounded off to the tenth decimal place.

    Measured: Week 16

Secondary outcomes (11)
  1. Period A (DB Period): Time to Onset of Achieving Hidradenitis Suppurativa Clinical Response (HiSCR50)

    Time to onset of achieving HiSCR50 during the DB period was defined as the time from randomization to the first time of achieving HiSCR50 by Week 16. HiSCR50 was defined as >=50% reduction from baseline in the total AN count, with no increase from baseline in abscess or draining tunnel count. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Up to Week 16

  2. Period A (DB Period): Percentage of Participants Who Achieved Hidradenitis Suppurativa Clinical Response (HiSCR75) at Week 16

    The HiSCR75 was used for assessing HS treatment effectiveness in controlling inflammatory manifestations in the population. HiSCR75 was defined as >=75% reduction from baseline in the total AN count, with no increase from baseline in abscess or draining tunnel count. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Week 16

  3. Period A (DB Period): Percentage of Participants Who Achieved Hidradenitis Suppurativa Clinical Response (HiSCR90) at Week 16

    The HiSCR90 was used for assessing HS treatment effectiveness in controlling inflammatory manifestations in the population. HiSCR90 was defined as >=90% reduction from baseline in the total AN count, with no increase from baseline in abscess or draining tunnel count. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Week 16

  4. Period A (DB Period): Percentage of Participants Who Experienced Improvement by at Least 1 International Hidradenitis Suppurativa Severity Score System (IHS4) Stage at Week 16

    The IHS4 was a validated tool to assess HS severity. The determination of IHS4 required counting inflammatory nodules, abscesses and draining tunnels and multiplying each by a specific coefficient. IHS4 score was calculated as: (number of inflammatory nodules multiplied by 1) + (number of abscesses multiplied by 2) + (number of draining tunnels multiplied by 4). A categorial IHS4 score was derived from this weighted score with total score range: mild: (<=3), moderate: (4 to 10) and severe: (>=11); higher scores indicated worse outcomes. Improvement in IHS4 by >=1 IHS4 stage was considered clinically meaningful.

    Measured: Week 16

  5. Period A (DB Period): Change From Baseline at Week 16 in Absolute Score in International Hidradenitis Suppurativa Severity Score System (IHS4)

    The IHS4 was a validated tool to assess HS severity. The determination of IHS4 required counting inflammatory nodules, abscesses and draining tunnels and multiplying each by a specific coefficient. IHS4 score was calculated as: (number of inflammatory nodules multiplied by 1) + (number of abscesses multiplied by 2) + (number of draining tunnels multiplied by 4). A categorial IHS4 score was derived from this weighted score with total score range: mild: (<=3), moderate: (4 to 10) and severe: (>=11); higher scores indicated worse outcomes. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Baseline (Day 1) and Week 16

  6. Period A (DB Period): Percentage of Participants Who Experienced a Flare Relative to Baseline at Week 16

    HS flare was defined as >=25% increase in AN count with a >=2 increase from baseline by Week 16. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Baseline (Day 1) and Week 16

  7. Period A (DB Period): Percentage of Participants Who Achieved International Hidradenitis Suppurativa Severity Score System (IHS4)-55 at Week 16

    The IHS4 was a validated tool to assess HS severity. The determination of IHS4 required counting inflammatory nodules, abscesses and draining tunnels and multiplying each by a specific coefficient. IHS4 score was calculated as: (number of inflammatory nodules multiplied by 1) + (number of abscesses multiplied by 2) + (number of draining tunnels multiplied by 4). A categorial IHS4 score was derived from this weighted score with total score range: mild: (<=3), moderate: (4 to 10) and severe: (>=11); higher scores indicated worse outcomes. IHS4-55 was defined as a 55% reduction in IHS4 score from baseline. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Week 16

  8. Period A (DB Period) + Period B (OLE Period): Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Treatment-Emergent Serious Adverse Events (TESAEs) and Treatment-Emergent Adverse Events of Special Interest (TEAESIs)

    An AE as any untoward medical occurrence in a clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. 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.

    Measured: Period A was assessed from first dose of study drug (Day 1 in Period A) up to last dose of study drug + 75 days, up to 192 days; Period B was assessed from first dose in Period B to last dose of study drug + 75 days, up to 168 days

  9. Period A (DB Period): Percentage of Participants Who Achieved at Least 30% Reduction and at Least 1 Unit Reduction From Baseline in Weekly Average of Daily Hidradenitis Suppurativa Skin Pain Numeric Rating Scale (HS-Skin Pain NRS) at Week 16

    The HS-Skin Pain NRS was a unidimensional numeric rating scale (NRS) that allowed for rapid measure of skin pain that was administered multiple times with minimal administrative burden. The HS-Skin Pain NRS had a 24-hour recall period and was completed as a daily diary, ideally at the same time each day (evening) throughout the treatment period. Participants were asked to complete the HS-Skin Pain NRS for 7 consecutive days leading up to the baseline visit with a minimum of 4 completions in their daily diary. The HS-Skin Pain NRS was scored on a 0 to 10 scale; 0: no skin pain and 10: worst skin pain possible. Higher scores indicated worse outcomes. Baseline was defined as the last available value before the first dose of DB study drug.

    Measured: Baseline (Day 1) and Week 16

  10. Period A (DB Period) + Period B (OLE Period): Serum SAR442970 Concentrations

    Blood samples were collected at specified timepoints for assessment of serum SAR442970 concentrations.

    Measured: Baseline (Day 1), Weeks 4, 8, 10, 12 and 16 (Period A); Weeks 18, 20 and 28 (Period B)

  11. Period B (OLE Period) + Period A+B (DB+OLE Period): Number of Participants With Anti-SAR442970 Antibody Response

    Serum samples were collected at specified timepoints for assessment of anti-SAR442970 antibody response. Treatment-emergent anti-drug antibody (ADA) were defined as participants with at least 1 treatment-induced/boosted ADA at any time after first study drug administration up to the last available ADA sample collection. Number of participants with treatment-emergent ADA response are presented.

    Measured: Period B: Placebo-SAR442970 arm were assessed from first dose of study drug in Period B up to approximately 20 weeks. Period A+B: SAR442970-SAR442970 arm were assessed from first dose of study drug in Period A up to 36 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2023
  2. Study start6 Jun 2023
  3. Primary completion22 Aug 2024
  4. Study completion9 Jan 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
86 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05849922
Sponsor's protocol ID
ACT16852
Other IDs
U1111-1280-6493, 2022-502370-17, 2022-502370-17
Acronym
HS OBTAIN
Status last verified
Jan 2026
First submitted
28 Apr 2023
Last updated
29 Jan 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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

Publications

  • Lin J, Radhakrishnan J. What Are Baskets, Umbrellas, and Platforms Doing in Nephrology Clinical Trials? J Am Soc Nephrol. 2025 Feb 3;36(8):1652-1654. doi: 10.1681/ASN.0000000648. No abstract available.

    PubMed 39899371

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SAR442970 in people with Hidradenitis Suppurativa, run by Sanofi at 45 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 sites in United States, Germany, Spain, Canada, Poland and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Jan 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Period A (DB Period): Percentage of Biologic and Small Molecule Immunosuppressive-Naïve Participants Who Achieved Hidradenitis Suppurativa Clinical Response (HiSCR50) at Week 16 (time frame: Week 16). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05849922, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jan 2026.

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HS OBTAIN Clinical Trial NCT05849922 | AzTrials