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RECRUITING Phase 2 ClinicalTrials.gov

A Repeated Dose-finding Study of Sarilumab in Children and Adolescents With Systemic Juvenile Idiopathic Arthritis (SKYPS)

Sponsor: Sanofi • ClinicalTrials.gov ID: NCT02991469

Registry updated: 2026-10-19
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Description

Primary Objective: To describe the pharmacokinetic (PK) profile of sarilumab in patients aged 1-17 years with Systemic Juvenile Idiopathic Arthritis (sJIA) in order to identify the dose and regimen for adequate treatment of this population. Secondary Objective: To describe the pharmacodynamics (PD) profile, the efficacy, and the long term safety of sarilumab in patients with sJIA.

Interventions

  • Sarilumab SAR153191 (REGN88) (Drug)
    Pharmaceutical form: Solution Route of administration: Subcutaneous

Eligibility criteria

Inclusion criteria : * Male and female patients aged ≥1 and ≤17 years (or country specified age requirement, ≥6 to ≤17 years for Russia) at the time of the screening visit. * Diagnosis of systemic JIA subtype according to the International Associations against Rheumatism (ILAR) 2001 Juvenile Idiopathic Arthritis (JIA) Classification Criteria OR According to 2024 EULAR/PReS recommendation at Screening. * Patient with an inadequate response to current treatment and considered as a candidate for a biologic disease modifying anti rheumatic drug (DMARD) as per investigator's judgment. Exclusion criteria: * Body weight \<10 kg or \>60 kg for patients enrolled in the ascending dose cohorts, then body weight \<10 kg for patients subsequently enrolled at the selected dose. * Uncontrolled severe systemic symptoms and/or Macrophage Activation Syndrome (MAS) within 6 months prior to screening. * History of or ongoing interstitial lung disease, pulmonary hypertension, pulmonary alveolar proteinosis. * If nonsteroidal anti-inflammatory drugs (NSAIDs) (including cyclo oxygenase-2 inhibitors \[COX-2\]) taken, dose stable for less than 2 weeks prior to the baseline visit and/or dosing prescribed outside of approved label. * If non-biologic DMARD taken, dose stable for less than 6 weeks prior to the baseline visit or at a dose exceeding the recommended dose as per local labeling. * If oral glucocorticoid taken, dose exceeding equivalent prednisone dose 1 mg/kg/day (or 60 mg/day) within 3 days prior to baseline. * Use of parenteral or intra-articular glucocorticoid injection within 4 weeks prior to baseline. * Prior treatment with anti-interleukin 6 (IL-6) or IL-6 receptor (IL-6R) antagonist therapies, including but not limited to tocilizumab or sarilumab. * Treatment with any biologic treatment for sJIA within 5 half-lives prior to the first dose of sarilumab (the required off treatment periods and procedures may vary according to local requirements). * Treatment with a Janus kinase inhibitor within 4 weeks prior to the first dose of sarilumab; and treatment with growth hormone within 4 weeks prior to the first dose of sarilumab (the required off treatment periods and procedures may vary according to local requirements). * Treatment with any investigational biologic or non-biologic product within 8 weeks or 5 half-lives prior to baseline, whichever is longer. * Exclusion related to tuberculosis. * Exclusion criteria related to past or current infection other than tuberculosis. * Any live, attenuated vaccine within 4 weeks prior to the baseline visit, such as varicella-zoster, oral polio, rubella vaccines. Killed or inactive vaccine may be permitted based on the Investigator's judgment. * Exclusion related to history of a systemic hypersensitivity reaction to any biologic drug and known hypersensitivity to any constituent of the product. * Laboratory abnormalities at the screening visit (identified by the central laboratory). * Severe cardiac disease due to sJIA. * Pregnant or breast-feeding female adolescent patients. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Conditions

Juvenile Idiopathic Arthritis

Locations

  • Investigational Site Number : 0320004 — San Miguel de Tucumán, Tucumán Province, Argentina
  • Investigational Site Number : 0320005 — Buenos Aires, Argentina
  • Investigational Site Number : 1240110 — Calgary, Alberta, Canada
  • Investigational Site Number : 2460040 — Helsinki, Finland
  • Investigational Site Number : 2500041 — Bron, France
  • Investigational Site Number : 2500042 — Montpellier, France
  • Investigational Site Number : 2500040 — Paris, France
  • Investigational Site Number : 2760064 — Berlin, Germany
  • Investigational Site Number : 2760065 — Berlin, Germany
  • Investigational Site Number : 2760062 — Hamburg, Germany
  • Investigational Site Number : 2760060 — Sankt Augustin, Germany
  • Investigational Site Number : 2760063 — Sendenhorst, Germany
  • Investigational Site Number : 3000001 — Athens, Greece
  • Investigational Site Number : 3000004 — Athens, Greece
  • Investigational Site Number : 3000003 — Athens, Greece
  • Investigational Site Number : 3000002 — Thessaloniki, Greece
  • Investigational Site Number : 3480001 — Budapest, Hungary
  • Investigational Site Number : 3720001 — Crumlin, Dublin, Ireland
  • Investigational Site Number : 3800051 — Genoa, Genova, Italy
  • Investigational Site Number : 3800054 — Milan, Milano, Italy
  • Investigational Site Number : 3800052 — Rome, Roma, Italy
  • Investigational Site Number : 4840004 — Mérida, Yucatán, Mexico
  • Investigational Site Number : 4840001 — Mexico City, Mexico
  • Investigational Site Number : 6200003 — Lisbon, Portugal
  • Investigational Site Number : 6200005 — Lisbon, Portugal
  • Investigational Site Number : 6200001 — Lisbon, Portugal
  • Investigational Site Number : 6430001 — Moscow, Russia
  • Investigational Site Number : 6430062 — Moscow, Russia
  • Investigational Site Number : 6430063 — Moscow, Russia
  • Investigational Site Number : 6430065 — Ufa, Russia
  • Investigational Site Number : 7240050 — Esplugues de Llobregat, Barcelona [Barcelona], Spain
  • Investigational Site Number : 7240055 — Barcelona, Catalunya [Cataluña], Spain
  • Investigational Site Number : 7240056 — Chamberí, Madrid, Comunidad de, Spain
  • Investigational Site Number : 7240058 — Madrid, Spain
  • Investigational Site Number : 7240054 — Málaga, Spain
  • Investigational Site Number : 7240057 — Sabadell, Spain
  • Investigational Site Number : 7240051 — Valencia, Spain
  • Investigational Site Number : 8260031 — London, London, City of, United Kingdom
  • Investigational Site Number : 8260034 — Leeds, United Kingdom
  • Investigational Site Number : 8260033 — Liverpool, United Kingdom
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record