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> Record changed: 2026-10-13

# Study of Lunsekimig (SAR443765) Compared With Placebo in Adults With High-risk Asthma

NCT06676319

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Phase

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Recruitment status

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Participants

556

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Lead sponsor

Sanofi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Start date

2024-11-07

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

Number of sites

230

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Title and summary

**Summary**

This is a parallel-group, Phase 2, randomized, double-blind, placebo-controlled, 2-arm study for the treatment of asthma. The purpose of this study is to assess the efficacy, safety, and tolerability of add-on therapy with subcutaneous (SC) lunsekimig compared with placebo in male and female participants (aged 18 to 80 years, inclusive) with asthma, who are not currently eligible for biologic treatments. Study details include: \* The study duration will be approximately 64 weeks for participants not transitioning into the LTS study and approximately 60 weeks for participants transitioning into the LTS study. \* The investigational treatment duration will be up to approximately 52 weeks. \* The number of visits will be 18.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Acronym**

AIRLYMPUS

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Short title**

Study of Lunsekimig (SAR443765) Compared With Placebo in Adults With High-risk Asthma

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Official title**

A Randomized, Phase 2, Double-blind, Placebo-controlled, Parallel-group, 2-arm Study to Investigate the Efficacy, Safety, and Tolerability of Subcutaneous Lunsekimig (SAR443765) in Adult Participants With High-risk Asthma Who Are Not Currently Eligible for Biologic Treatment

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Status and phase

**Control arm**

Placebo

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Recruitment status**

Active, not recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Phase**

Phase 2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Dates

**Completion date**

2027-07-19

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**First posted**

2024-11-06

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Registry last updated**

2026-07-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Primary completion date**

2027-06-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Start date**

2024-11-07

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Size and sites

**Actual participants**

556

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Participants**

556

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Protocol amendments**

2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Number of sites**

230

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Lead sponsor**

Sanofi

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Identifiers

**Registry ID**

NCT06676319

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**ClinicalTrials.gov ID**

NCT06676319

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Outcomes

### Primary outcomes

1. Annualized rate of asthma exacerbation events  
Timeframe: From baseline up to 52 weeks  
Asthma exacerbation event defined as: worsening of asthma requiring the use of systemic corticosteroids for ≥3 days; or hospitalization or emergency room visit due to asthma and requiring the use of systemic corticosteroids or death due to asthma

### Secondary outcomes

1. Change from baseline in prebronchodilator (BD) forced expiratory volume in 1 second (FEV1)  
Timeframe: From baseline to week 52
2. Change from baseline in Asthma Control Questionnaire5 (ACQ-5) score  
Timeframe: From baseline to week 52  
The ACQ-5 is a questionnaire that measures the adequacy of asthma control and any changes in asthma control that may occur spontaneously or as a result of treatment. The ACQ-5 has five questions on the asthma symptoms and patients are asked to recall how their asthma has been during the previous week and to respond on a 7-point scale for each question (0 = no impairment, 6 = maximum impairment). The ACQ-5 score is the mean of the 5 questions and, therefore, between 0 (totally controlled) and 6 (severely uncontrolled). A high score indicates low asthma control.
3. Change from baseline in FeNO level  
Timeframe: From baseline to week 52
4. Annualized rate of loss of asthma control events (LOAC) events  
Timeframe: From baseline to week 52  
Annualized rate of LOAC events defined by 1 or more of the following criteria: \* ≥30% reduction from baseline in morning PEF on 2 consecutive days \* ≥6 additional reliever puffs of SABA in a 24-hour period (compared to baseline) on 2 consecutive days OR ≥4 additional puffs of low-dose budesonide/formoterol or budesonide/albuterol in a 24-hour period (compared to baseline) on 2 consecutive days \* Worsening of asthma requiring the use of systemic corticosteroids for ≥3 days \* Hospitalization or emergency room visit because of asthma, requiring systemic corticosteroids (asthma exacerbation event) \* Death due to asthma
5. Annualized rate of asthma exacerbations requiring hospitalization or emergency room or urgent care visit  
Timeframe: From baseline to week 52
6. Total systemic corticosteroid dose exposure  
Timeframe: From baseline to week 52
7. Change from baseline in Asthma Quality of Life Questionnaire Standardized (AQLQ{S}) scores  
Timeframe: From baseline to week 52
8. Change from baseline in the Asthma Daytime Symptom Diary (ADSD) daily morning and evening score  
Timeframe: From baseline to week 52
9. Serum lunsekimig concentrations  
Timeframe: From baseline to week 56
10. Incidence and titer of anti-drug antibodies (ADA) against lunsekimig  
Timeframe: From baseline to week 56
11. Incidence of participants with treatment-emergent adverse events (TEAEs), including local reactions, adverse events of special interests (AESIs), serious adverse events (SAEs)  
Timeframe: From baseline to week 56

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Maximum age**

80 Years

**Healthy volunteers**

No

### Inclusion criteria

- Physician-diagnosed mild-to-moderate asthma for more than 12 months based on GINA guidelines.
- At least 1 asthma exacerbation in the year prior to Screening (Visit 1).
- Pre-BD FEV1 of equal or more than 40% of predicted normal (by Global Lung Function Initiative \[GLI\] standards) at Screening (Visit 1).

### Exclusion criteria

Participants are excluded from the study if any of the following criteria apply:

- Other severe lung diseases (eg, chronic obstructive pulmonary disease \[COPD\]. bronchiectasis, idiopathic pulmonary fibrosis, etc) which may impair lung function.
- Participants who experience a deterioration of asthma that results in emergency treatment or hospitalization, or treatment with systemic steroids within 1 month prior to the Screening (Visit 1) (counting from the date of completion of treatment for asthma exacerbation).
- Participants who have experienced an upper or lower respiratory tract infection within the 4 weeks prior to Screening (Visit 1).
- 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.
- Evidence of any infection requiring systemic anti-infective treatment within 2 weeks before Screening (Visit 1) or during the screening period. Significant viral infections within 2 weeks before Screening (Visit 1) or during the screening period even if the participant has not received systemic antiviral treatment (eg, influenza receiving only symptomatic treatment).
- Participants with active tuberculosis (TB), latent TB, a history of incompletely treated TB, suspected extrapulmonary TB infection, or who are at high risk of contracting TB (such as close contact with individuals with active TB), or received Bacillus Calmette-Guérin (BCG)-vaccination within 12 weeks prior to Screening (Visit 1).
- Severe concomitant illness that would in the Investigator's opinion inhibit the participant's participation in the study, including for example, but not limited to, hypertension, renal disease, neurological conditions, heart failure, and pulmonary disease.

NOTE: The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical study.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Sites

- The Center for Clinical Trials - Saraland- Site Number : 8400096Saraland, United States
- Chandler Clinical Research Trials- Site Number : 8400075Chandler, United States
- Epic Medical Research - Sun City- Site Number : 8400052Sun City, United States
- Tucson Clinical Research Institute- Site Number : 8400085Tucson, United States
- Ark Clinical Research- Site Number : 8400097Long Beach, United States
- Downtown L.A. Research Center- Site Number : 8400080Los Angeles, United States
- Carbon Health - North Hollywood - NoHo West- Site Number : 8400061North Hollywood, United States
- Carbon Health - San Mateo - Hillsdale Mall- Site Number : 8400062San Mateo, United States
- Stanford University Medical Center- Site Number : 8400108Stanford, United States
- Modena Allergy And Asthma- Site Number : 8400068Torrance, United States
- Howard University Hospital- Site Number : 8400107Washington D.C., United States
- Helix Biomedics- Site Number : 8400005Boynton Beach, United States
- Beautiful Minds Clinical Research Center- Site Number : 8400019Cutler Bay, United States
- Omega Research Consultants - Debary - North Charles Richard Beall Boulevard- Site Number : 8400082DeBary, United States
- Alfa Medical Research- Site Number : 8400071Hollywood, United States
- Royal Clinical Trials - Inverness- Site Number : 8400067Inverness, United States
- Premier Medical Associates- Site Number : 8400077Lady Lake, United States
- D&H Pompano Research Center- Site Number : 8400072Margate, United States
- Research Institute of South Florida- Site Number : 8400023Miami, United States
- Innovations Biotech- Site Number : 8400044Miami, United States
- Tellabio International Research Services- Site Number : 8400083Pembroke Pines, United States
- Avanza Medical Research Center- Site Number : 8400056Pensacola, United States
- Hull and Hull Medical Specialists- Site Number : 8400079Plantation, United States
- Ilumina Medical Research- Site Number : 8400095Saint Cloud, United States
- Cordele, United States

And 205 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## References

### Other registry identifiers (2)

- 2024-513959-33
- U1111-1301-3938

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06676319)

## Related records

### Drugs (7)

- [Albuterol sulfate](https://trialight.com/data/asset/albuterol-sulfate-2dd2d404-b0a0-4c65-9f6e-2fa1ab444b30.md)
- [Budesonide](https://trialight.com/data/asset/budesonide-15e6ba7b-3021-46e9-b180-bf23025bbc67.md)
- [Fluticasone](https://trialight.com/data/asset/fluticasone-07b854dc-6b49-4d3b-8c5a-54e2b7a89943.md)
- [Formoterol](https://trialight.com/data/asset/formoterol-1c4f9fc6-da8f-4ea7-b9d7-7327267ca099.md)
- [Insulin human](https://trialight.com/data/asset/insulin-human-99c024c5-521b-478f-a4e1-d5705d2c66d8.md)
- [Lunsekimig](https://trialight.com/data/asset/lunsekimig-87cedd43-e3f5-4dac-9250-3a13afbe6402.md)
- [Salmeterol](https://trialight.com/data/asset/salmeterol-97bdfb51-b314-47e7-9755-5174e2c52203.md)

### Lead sponsors (1)

- [Sanofi](https://trialight.com/data/company/sanofi-241d6a3a-4341-499a-adf8-1c63e9a2e2fd.md)

### Conditions (1)

- [Asthma](https://trialight.com/data/condition/asthma-247437fb-0e60-5885-8a3a-ce40099cea88.md) Primary condition

### Targets (3)

- [ADRB2](https://trialight.com/data/target/adrb2-dd50b672-19f0-5015-be62-c6f5861dc510.md)
- [INSR](https://trialight.com/data/target/insr-76e92e6a-1d95-5282-9c03-f55293267050.md)
- [NR3C1](https://trialight.com/data/target/nr3c1-98974b8d-fb89-5483-955e-d4a994c71532.md)

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