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Sanofi Pushes Amlitelimab Toward 2026 Filings After Mixed Phase 3 Readouts

The company is targeting second-half 2026 global submissions after reporting a consistent safety profile.

Overview

  • In the SHORE study (n=596), amlitelimab plus topical corticosteroids met primary and key secondary endpoints, with vIGA‑AD 0/1 rates of 28.7%–32.9% versus 16.8% on placebo and EASI‑75 rates of 46.8%–50.9% versus about 32.3%–34.2%.
  • In COAST 2 (n=547) monotherapy, the US estimand met the primary endpoint at week 24 (25.3%–25.7% vs 14.8% for placebo), but co‑primary endpoints were not statistically significant in the EU estimand and a key secondary vIGA‑AD measure missed significance in some US analyses.
  • Sanofi said amlitelimab was well tolerated in both studies, with a safety profile consistent with earlier data in patients aged 12 and older.
  • The company plans global regulatory submissions in the second half of 2026 and expects additional phase 3 readouts from AQUA and ESTUARY in the same period, with phase 2 ATLANTIS data indicating progressive efficacy through week 52.
  • Amlitelimab, an OX40‑ligand–targeting antibody positioned as a potential successor to Dupixent, advances as a separate FDA complete response letter for tolebrutinib this month highlights regulatory scrutiny of Sanofi’s pipeline.