Sanofi's AAAAI 2024 Showcase: new findings on Dupixent® (Dupilumab) and advancing Rilzabrutinib for CSU

February 9, 2024
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New data presented at AAAAI highlight Sanofi’s scientific leadership across inflammatory diseases

  • Late-breaking Dupixent® data leverages imaging technology to evaluate how Dupixent improves lung function in patients with uncontrolled moderate-to-severe asthma
  • Multiple oral presentations reinforce potential of Dupixent to provide relief to people with eosinophilic esophagitis as young as 1 year old through adulthood
  • First presentation of Phase 2 data for novel investigational oral BTK inhibitor rilzabrutinib in CSU; data forms the basis for Phase 3 program
  • Holistic presence underscores continued commitment to advancing therapies for patients across multiple inflammatory diseases

Paris, February 9, 2024. Twenty-three abstracts across approved and investigational medicines will be presented at this year’s American Academy of Allergy Asthma and Immunology (AAAAI) Annual Meeting from February 23 to 26. Abstracts include those evaluating Dupixent® (dupilumab) across six inflammatory diseases, including asthma, atopic dermatitis (AD), eosinophilic esophagitis (EoE), eosinophilic gastritis (EoG), chronic rhinosinusitis with nasal polyps (CRwNP), and chronic spontaneous urticaria (CSU); as well as rilzabrutinib in CSU.

Naimish Patel, M.D. 
Global Head of Development, Immunology and Inflammation at Sanofi  
“We are proud of our broad scientific presence at this year’s AAAAI, which underscores our commitment to working with our partner to continue to advance the science of Dupixent while also bringing forward novel and disruptive mechanisms of action that can address unmet needs. From novel imaging data that enables us to better understand the impact of Dupixent on lung function, to the latest EoE data in children as young as 1 year old, to the first presentation of our potentially best-in-class oral BTK inhibitor, we are committed to chasing the miracles of science for patients suffering from these chronic inflammatory conditions.
        
Notable presentations include:

Dermatology pipeline
A late breaking poster shows pipeline advancements in the treatment of patients with chronic spontaneous urticaria.

Rilzabrutinib in chronic spontaneous urticaria

  • RILECSU Phase 2 Dose-Ranging Study: Data showed that rilzabrutinib significantly improved itch, hives and urticaria in adults with moderate-to-severe chronic spontaneous urticaria (CSU).
     

Rilzabrutinib was well-tolerated with most frequent adverse events being diarrhea and nausea.

Dupixent
Late breaking poster provides new insights into the effect of Dupixent on lung function and is the first study to use novel functional respiratory imaging to assess the effect of a biologic on lung function and airway volume. Additional oral presentations underscore the potential of Dupixent to transform the treatment paradigm for pediatric, adolescent, and adult patients with eosinophilic esophagitis (EoE).

Uncontrolled moderate-to-severe asthma

  • VESTIGE Phase 4 trial: Dupixent was associated with positive data on airway inflammation, mucus plugging, fractional exhaled nitric oxide (FeNO) and airway volume in patients with uncontrolled moderate-to-severe asthma.
     

Eosinophilic esophagitis

  • KIDS Phase 3 trial: Positive Dupixent data on histologic and endoscopic outcomes in children with EoE aged 1 through 11 years old at week 16 and through 52 weeks. Additional analysis will also be presented on gene expression in these children.i
  • LIBERTY-EoE-TREET study: Positive Dupixent data on histologic, symptomatic, and endoscopic aspects of EoE in adults and adolescents up to 52 weeks, regardless of prior elimination diet or food allergy.i

The safety results of these trials were generally consistent with the known safety profile of Dupixent.

Complete List of AAAAI 2024 Presentations:

Presenting authorAbstract titlePresentation details
Asthma
BacharierImproved Lung Function is Associated With Better Asthma Control in Children Aged 6 to 11 Years With Moderate-To-Severe Type 2 Asthma: A Post Hoc Analysis of VOYAGEPoster #300
Poster session
Saturday, February 24
9.45-10.45 AM
BusseAsthma Treatment With Add-On Dupilumab Plus Medium-Dose Inhaled Corticosteroid (ICS) Improved Lung Function and Asthma Control Compared With Placebo Plus High-Dose ICSPoster #L23
Poster session (LB)
Saturday, February 24
9.45-10.45 AM
CastroEvaluating the Effect of Dupilumab on Type 2 Airway Inflammation and Mucus Plugging in Patients with Uncontrolled Moderate-To-Severe Asthma: the VESTIGE TrialPoster #L24
Poster session (LB) Saturday, February 24
9.45-10.45 AM
DomingoAssociation Of Baseline Lung Function and Likelihood of Oral Corticosteroid Reduction in Patients With OCS-Dependent Severe AsthmaPoster #308
Poster session
Saturday, February 24
9.45-10.45 AM
PetersCoexisting Allergic Rhinitis in Patients With Moderate-To-Severe Asthma Initiating Dupilumab in Real-World Clinical Practice: The RAPID Registry StudyPoster #290
Poster session
Saturday, February 24
9.45-10.45 AM
WechslerLong-term Efficacy of Dupilumab in Patients with Moderate-to-severe Type 2 Asthma Stratified by Baseline Characteristics during the 96-week TRAVERSE StudyPoster #292
Poster session
Saturday, February 24
9.45-10.45 AM
Eosinophilic Esophagitis
ChehadeDupilumab Improves Histologic and Endoscopic Outcomes in Children Aged 1 to <12 Years With Eosinophilic Esophagitis (EoE): 52-Week Results from the Phase 3 EoE KIDS TrialOral presentation #821
Oral abstract session Monday, February 26
12.50-1.00 PM
ChehadeBaseline Demographics and Disease Characteristics of Pediatric Patients With Eosinophilic Esophagitis (EoE) from the Randomised, Placebo-Controlled, Phase 3 EoE KIDS StudyPoster #620
Poster session
Sunday, February 25
9.45-10.45 AM
RothenbergDupilumab Normalized the Expression of Genes Dysregulated in Eosinophilic Esophagitis (EoE) in Esophageal Biopsies from a Clinical Trial of Children Aged 1–11 YearsOral presentation #458
Oral abstract session Saturday, February 24
2.45-2.55 PM
SpergelDupilumab Is Efficacious Up To 52 Weeks in Patients with Eosinophilic Esophagitis Irrespective of Prior Food Elimination Diet or History of Food AllergyOral presentation #457
Oral abstract session Saturday, February 24
2.35-2.45 PM
Eosinophilic Gastritis
DellonA Phase 2/3 Study to Assess the Efficacy and Safety of Dupilumab Versus Placebo in Adults and Adolescents with Eosinophilic Gastritis With or Without Eosinophilic DuodenitisPoster #621
Poster session
Sunday, February 25
9.45-10.45 AM
Atopic Dermatitis
Beck

 

 
Long-Term Efficacy of Dupilumab in Adults With Moderate-to-Severe Atopic Dermatitis: Results From A 5-Year Open-Label Extension TrialPoster #015
Poster session
Friday, February 23
3.15-4.15 PM
BeckDupilumab Consistently Reduces CCL-17 (TARC) in Patients with Atopic Dermatitis Across All Age GroupsPoster #038
Poster session
Friday, February 23
3.15-4.15 PM
BronovaDupilumab Improves Skin Lipid Barrier in Pediatric Patients With Moderate-To-Severe Atopic DermatitisPoster #013
Poster session
Friday, February 23
3.15-4.15 PM
KimDupilumab Reduction of IgE Levels and Probability of Atopic Dermatitis Flares – Analysis of A Randomized Placebo-Controlled 52-Week StudyPoster #044
Poster session
Friday, February 23
3.15-4.15 PM
Chronic Rhinosinusitis with Nasal Polyps
Desrosiers

 
Prevalence NSAID-ERD Among Patients with Chronic Rhinosinusitis with Nasal Polyps in the Global AROMA registryPoster #657
Featured poster session Sunday, February 25
9.45-10.45 AM
HanBaseline Use of Orals Corticosteroids Among Patients With Chronic Rhinosinusitis With Nasal Polyps Enrolled in the Global AROMA RegistryPoster #777
Featured poster session
Sunday, February 25
4.45-6.15 PM
IsamanThe Impact of Functional Endoscopic Sinonasal Surgery on Oral Corticosteroid Use and Costs Over 3 Years in Patients With Chronic Rhinosinusitis With Nasal Polyps in US Real-World PracticePoster #777
Featured poster session
Sunday, February 25
9.45-10.45 AM
PetersBaseline Disease Characteristics Among Patients with Chronic Rhinosinusitis with Nasal Polyps and Coexisting Asthma in the Global AROMA registryPoster #652
Featured poster session
Sunday, February 25
9.45-10.45 AM
Chronic Spontaneous Urticaria
MaurerEfficacy and Safety of Rilzabrutinib in Patients With Chronic Spontaneous Urticaria: 12-Week Results From the RILECSU Phase 2 Dose-Ranging StudyPoster# L38
Poster Session (LB)
Saturday, February 24
9:45 am - 10:45 AM
MaurerDupilumab Reduces Disease Activity in Patients with Chronic Spontaneous Urticaria: LIBERTY-CSU CUPID Study APoster #029
Poster session
Friday, February 23
3.15-4.15 PM
MaurerDupilumab Improves Dermatology-Specific Quality of Life in Patients with Chronic Spontaneous Urticaria Inadequately Controlled with H1 AntihistaminesPoster #007
Poster session
Friday, February 23
3.15-4.15 PM
MaurerDupilumab Improves Urticaria-Specific Quality of Life in Patients with Chronic Spontaneous Urticaria Uncontrolled by H1 AntihistaminesPoster #006
Poster session
Friday, February 23rd
3.15-4.15 PM

                
About Dupixent
Dupixent is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL-4) and interleukin-13 (IL-13) pathways and is not an immunosuppressant. The Dupixent development program has shown significant clinical benefit and a decrease in type 2 inflammation in Phase 3 trials, establishing that IL-4 and IL-13 are key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases. These diseases include approved indications for Dupixent, such as atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), eosinophilic esophagitis (EoE) and prurigo nodularis.

Dupixent has received regulatory approvals in one or more countries around the world for use in certain patients with atopic dermatitis, asthma, CRSwNP, EoE or prurigo nodularis in different age populations. Dupixent is currently approved for one or more of these indications in more than 60 countries, including in Europe, the U.S. and Japan. More than 800,000 patients are being treated with Dupixent globally.

Dupilumab Development Program
Dupilumab is being jointly developed by Sanofi and Regeneron under a global collaboration agreement. To date, dupilumab has been studied across more than 60 clinical trials involving more than 10,000 patients with various chronic diseases driven in part by type 2 inflammation.

In addition to the currently approved indications, Sanofi and Regeneron are studying dupilumab in a broad range of diseases driven by type 2 inflammation or other allergic processes in Phase 3 trials, including chronic spontaneous urticaria, chronic pruritus of unknown origin, chronic obstructive pulmonary disease with evidence of type 2 inflammation and bullous pemphigoid. These potential uses of dupilumab are currently under clinical investigation, and the safety and efficacy in these conditions have not been fully evaluated by any regulatory authority.

About Rilzabrutinib
Rilzabrutinib is an oral, reversible, covalent BTK inhibitor that has the potential to be a first- or best-in-class treatment of a number of immune-mediated diseases, including CSU, prurigo nodularis, asthma, immune thrombocytopenia (ITP), IgG4-related disease and warm autoimmune hemolytic anemia (wAIHA). BTK, expressed in B cells and mast cells, plays a critical role in multiple immune-mediated disease processes. With the application of Sanofi’s TAILORED COVALENCY® technology rilzabrutinib can selectively inhibit the BTK target while potentially reducing the risk of off-target side effects.         

About Sanofi’s Immunology Pipeline
Through world-class R&D and a laser focus on patients, Sanofi discovers, develops and delivers best-in-class treatments that improve the lives of people living with chronic inflammatory diseases. Our scientific strategy for the future of immunology is built around the intentional choice of exploring disruptive mechanisms of actions beyond type 2 including NANOBODY molecules, synthetic cytokines and degraders. The immunology pipeline consists of 5 investigational agents in Phase 1 clinical development, 6 in Phase 2 clinical development, and 1 in Phase 3 clinical development. These programs include investigational agents across a wide range of inflammatory conditions.

About Sanofi
We are an innovative global healthcare company, driven by one purpose: we chase the miracles of science to improve people’s lives. Our team, across some 100 countries, is dedicated to transforming the practice of medicine by working to turn the impossible into the possible. We provide potentially life-changing treatment options and life-saving vaccine protection to millions of people globally, while putting sustainability and social responsibility at the center of our ambitions. 

Sanofi is listed on EURONEXT: SAN and NASDAQ: SNY.

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Corentine Driancourt | + 33 06 40 56 92 21 | corentine.driancourt@sanofi.com

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Nathalie Pham | + 33 07 85 93 30 17 | natalie.pham@sanofi.com

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i Thresholds for clinically meaningful changes in EREFS and HSS scores have not been established.

 

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