MOBILIZE
PHASE3
ACTIVE
n=200
Study Design
DesignRandomized, double-blind, placebo-controlled, parallel-group
Randomization1:1
BlindingDouble-blind
Enrollment200
Duration48 weeks
Treatment Arms
Riliprubart 3000 mg IV loading dose → 450 mg SC Q4W (every 4 weeks) maintenance n=100
Placebo Matching IV loading → matching SC Q4W n=100
Primary Endpoints
[{"id":"mobilize-irods","name":"Change in I-RODS Score","type":"PRIMARY","unit":"points","results":[],"timepoint":"Week 24","description":"I-RODS (Inflammatory Rasch-built Overall Disability Scale) is a newer, more sensitive patient-reported outcome scale for inflammatory neuropathies than the traditional INCAT scale. Higher scores = better function. I-RODS has better responsiveness to change and is less prone to floor/ceiling effects than INCAT."}]
Assessment
OPEN QUESTIONS:
1. What is the minimum treatment duration before primary endpoint assessment?
2. How is "refractory" defined specifically (# of prior therapies)?
3. Will subgroup analyses by antibody subclass (IgG1/3 vs IgG4) be pre-specified?
INVESTMENT IMPLICATIONS:
- POSITIVE: Validates C1s class in hardest patients (refractory), supports SNY's CIDP franchise
- NEGATIVE: Refractory population failure could be population-specific (too sick) vs mechanism issue
- Parallel-group design success would be very compelling to skeptics of randomized withdrawal designs
- Readout ~same time as CAPTIVATE creates a natural "horse race" moment
SANOFI STRATEGY:
- MOBILIZE = regulatory approval pathway (placebo-controlled, gold standard for FDA)
- VITALIZE = market adoption pathway (vs IVIg, gold standard for physicians/payers)
- Running both simultaneously is expensive but accelerates overall program by ~1-2 years
Source: ClinicalTrials.gov NCT06290128, Sanofi R&D presentations
Background & Context
C1s inhibition blocks classical complement pathway in CIDP. Riliprubart's YTE-engineered half-life (~40-50 days) enables Q4W dosing. Parallel-group design (no run-in) in IVIg-dependent, refractory patients is a harder test than randomized withdrawal.
Data from Supabase · Updated 2026-03-24