πŸ›οΈ Verified NIH Record β€’ Updated 2026-06-23

Frexalimab in Preservation of Endogenous Insulin Secretion Compared to Placebo in Adults, Adolescents and Children on Top of Insulin Therapy (FABULINUS) (NCT06111586)

A Randomized, Double-blind, Placebo-controlled, Multi-center Phase 2b Study With a Blinded Extension and an Optional Open-label Extension-Assessing the Safety and Efficacy of Frexalimab, a CD40L-antagonist Monoclonal Antibody, for the Preservation of Pancreatic Ξ²-cell Function in Adults, Adolescents and Children With Newly Diagnosed Type 1 Diabetes on Insulin Therapy

πŸ”΅ Active, Not Recruiting Phase2 πŸ’Š Investigational Drug / Biologic Sponsor: Sanofi

🩺 Plain-English Summary (8th-Grade Level)

This is a randomized, parallel group, double-blind Phase 2 study with a blinded extension evaluating the safety and efficacy of 3 dose levels of frexalimab in comparison with placebo in participants with newly diagnosed T1D on insulin treatment. Study details include: Screening period: at least 3 weeks and up to 5 weeks. Enrollment date of the participant must take into consideration this constraint) Double-blind treatment period (104 weeks for Part A and Part B; 52 weeks for Part C): Main treatment period: 52 weeks for Parts A and B, 26 weeks for Part C Blinded extension: 52 weeks (for Part A and Part B, 26 weeks for Part C) Optional OLE period: 104 weeks for all parts Safety follow-up: 26 weeks The treatment duration will be up to 104 weeks for Part A and Part B or 52 weeks for Part C, the total study duration will be up to 135 weeks for Part A and Part B or 83 weeks for Part C. If participants enter the OLE period, the treatment duration will be up to 208 weeks for Part A and Part B or 156 weeks for Part C, and the total study duration will be 240 weeks approximately for Part A and Part B or 188 weeks for Part C.

Who can join: Review the eligibility criteria below.

Location: University of California San Francisco - Mission Bay- Site Number : 8400012 β€” San Francisco, California

Age range: 6 Years to 35 Years

πŸ§ͺ Interventions in This Study

πŸ“‹ "Do I Qualify?" β€” 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria β†—

πŸ“ All Participating Trial Locations (79 Sites)

Showing the first 25 of 79 sites.

  • University of California San Francisco - Mission Bay- Site Number : 8400012 β€” San Francisco, California
  • University of Colorado - Anschutz Medical Campus- Site Number : 8400003 β€” Aurora, Colorado
  • University of Florida College of Medicine- Site Number : 8400010 β€” Gainesville, Florida
  • University of Miami Hospital- Site Number : 8400013 β€” Miami, Florida
  • AdventHealth Orlando- Site Number : 8400002 β€” Orlando, Florida
  • Rocky Mountain Diabetes and Osteoporosis Center- Site Number : 8400009 β€” Idaho Falls, Idaho
  • NorthShore University Health System - Endeavor Health Medical Group - Skokie - Woods Drive- Site Number : 8400007 β€” Skokie, Illinois
  • Joslin Diabetes Center - Boston- Site Number : 8400015 β€” Boston, Massachusetts
  • University at Buffalo - Downtown Campus- Site Number : 8400004 β€” Buffalo, New York
  • University of North Carolina at Chapel Hill- Site Number : 8400001 β€” Chapel Hill, North Carolina
  • Cincinnati Children's Hospital Medical Center- Site Number : 8400019 β€” Cincinnati, Ohio
  • The Children's Hospital of Philadelphia Site Number : 8400005 β€” Philadelphia, Pennsylvania
  • University of Texas - Southwestern Medical Center- Site Number : 8400011 β€” Dallas, Texas
  • Benaroya Research Institute at Virginia Mason- Site Number : 8400016 β€” Seattle, Washington
  • Investigational Site Number : 0400002 β€” Graz,
  • Investigational Site Number : 0400004 β€” Linz,
  • Investigational Site Number : 0400001 β€” Vienna,
  • Investigational Site Number : 0560002 β€” Brussels,
  • Investigational Site Number : 0560001 β€” Leuven,
  • Investigational Site Number : 1240001 β€” Vancouver, British Columbia
  • Investigational Site Number : 1240007 β€” London, Ontario
  • Investigational Site Number : 1240005 β€” Montreal, Quebec
  • Investigational Site Number : 1240004 β€” Montreal, Quebec
  • Investigational Site Number : 1240003 β€” Montreal, Quebec
  • Investigational Site Number : 2030003 β€” Ostrava,

πŸ’° Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA Β§ 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

πŸ’‘ How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
πŸ›οΈ View Official NIH Record β†—