ClinicalTrials.gg
CompletedNCT03350191Updated Apr 25, 2022

A Clinical Study to Investigate if SAR425899 Binds to the Liver and Pancreas in Overweight to Obese Type 2 Diabetes Mellitus Patients

A Phase 1 interventional study of SAR425899 and [68Ga] Ga-DO3A-VS-Cys40-Tuna-2 (glucagon receptor tracer) in Type 2 Diabetes Mellitus, sponsored by Sanofi. Completed at 1 site in Sweden. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-04-25.

Sponsored by Sanofi · Phase 1, Interventional, and Basic science

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Phase
Phase 1
Study type
Interventional
Enrollment
13
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 186 studies in Diabetes Mellitus, Type 2 by Sanofi — 1 open to participants now, 1 under way, none of them phase 3. Diabetes Mellitus, Type 2 · Sanofi.

Enrollment
170th of 178
13 · median 334
Started
2017
with 5 others
Phase 1
16 of 186
none open now
Registered
155th of 186
by date

Among the 186 studies in Diabetes Mellitus, Type 2 by Sanofi, this one is the 170th largest by enrollment of the 178 interventional ones that give a count, is one of 6 that started in 2017, is one of 16 in phase 1, and was the 155th registered.

Diabetes Mellitus, Type 2

10,382 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,411 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

1 of the 186 studies in Diabetes Mellitus, Type 2 by Sanofi is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 374 (42%) set no upper age limit and 383 (43%) stop at 75 or younger; 52 take children under 18; 205 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

Primary Objectives:

To assess in overweight to obese T2DM patients:

  • The glucagon receptor occupancy of SAR425899 at two dose levels in the human liver with positron-emission tomography (PET) imaging using [68Ga]Ga-DO3A-VS-Cys40-Tuna-2 as a tracer compound.
  • The GLP-1 receptor occupancy of SAR425899 at two dose levels in the human pancreas with PET imaging using [68Ga]Ga-DO3A-VS-Cys40-Exendin-4 as a tracer compound.
  • Pharmacodynamic effects on fasting plasma glucose and biomarkers of lipid metabolism.
  • Pharmacokinetic parameters for SAR425899 after repeated subcutaneous (SC) doses in plasma.
  • Safety and tolerability of SAR425899.
Read the detailed description

Study duration is approximately 7 weeks with a 20 days treatment period.

03

Conditions studied

  • Type 2 Diabetes Mellitus
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female patients, between 18 and 75 years of age, inclusive.
  • Body weight between 60.0 and 120.0 kg, inclusive, between 28.0 and 38.0 kg/m2, inclusive.
  • Diagnosis of type 2 diabetes mellitus for at least 1 year at the time of inclusion with stable metformin treatment prior to inclusion, with or without comorbidities related to type 2 diabetes mellitus.
  • Fasting plasma glucose ≥ 90 mg/dL at screening.
  • Glycosylated () ≥6.5% and ≤9 % at screening.

Exclusion criteria

Exclusion criteria:

  • Any history or presence of cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, gynecologic (if female), urologic or infectious disease, hormonal active tumors (e.g. pheochromocytoma or insulinoma), or signs of acute illness that is not related to the metabolic status of the patient.
  • Presence or history of drug (including known allergic reactions associated with glucagon like peptide-1 (GLP-1) agonist treatment [exenatide, liraglutide, lixisenatide]), or allergic disease diagnosed and treated by a physician.
  • Any intake of menopausal hormone replacement therapy, systemic , growth hormones, weight-loss drugs, antihyperlipidemic treatment, antihyperglycemic treatment [e.g., GLP-1 agonists, insulin, thiazolidinediones, dipeptidylpeptidase (DPP-IV) inhibitors, sodium/glucose cotransporter-2 (SGLT-2) inhibitors etc.]) during the treatment period and within 21 days before first dosing or within 5 times the elimination half-life or pharmacodynamic half-life of the medication (if known), with the exception of metformin, sulphonylureas (SU), standard antihypertensive treatment, statins and acetyl salicylic acid.
  • Any condition possibly affecting gastric emptying or absorption from gastro-intestinal tract (e.g., gastric surgery, gastrectomy, bariatric surgery, malabsorption syndromes, gastroparesis, abdominal surgery other than appendectomy, hysterectomy, cholecystectomy and herniaplasty).
  • Surgically treated obesity, bariatric surgery.
  • Severe dyslipidemia with fasting triglycerides >450 mg/dL at screening.
  • Severe hypoglycemia resulting in seizure/unconsciousness/coma or hospitalization for diabetic ketoacidosis in the last 3 months before screening.
  • Persistent hyperglycemia not adequately controlled by metformin, SUs and/or diet/exercise.
  • Diagnosed diabetic neuropathy, retinopathy, nephropathy or renal impairment ( \<60 mL/min; estimate after ) at screening.
  • Unstable hypo- or hyperthyroidism (as assessed by TSH) at screening.
  • History of pancreatitis or pancreatectomy.
  • Amylase and/or lipase > 2 (ULN) at screening.
  • Personal history or family history of medullary thyroid cancer or a genetic condition that predisposes to medullary thyroid cancer.
  • Elevated basal calcitonin (≥20 pg/mL / 5.9 pmol/L) at screening.
  • Known past or present diseases or disorders of any target organ (liver, pancreas, spleen).
  • Medical positron emitting tomography (PET), single photon emission computer tomography (SPECT), abdominal or thoracic computer tomography (CT) examination during the previous 12 months' time period.
  • Claustrophobia.

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

Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    SAR425899 high dose

    Repeated once daily subcutaneous (SC) doses of SAR425899 administered over 20 days

    Drug: SAR425899 · Drug: [68Ga] Ga-DO3A-VS-Cys40-Tuna-2 (glucagon receptor tracer) · Drug: [68Ga] Ga-DO3A-VS-Cys40-Exendin-4 (GLP-1 receptor tracer)

  • Experimental
    SAR425899 low dose

    Repeated once daily SC doses of SAR425899 administered over 20 days

    Drug: SAR425899 · Drug: [68Ga] Ga-DO3A-VS-Cys40-Tuna-2 (glucagon receptor tracer) · Drug: [68Ga] Ga-DO3A-VS-Cys40-Exendin-4 (GLP-1 receptor tracer)

Interventions

  • Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

  • Drug[68Ga] Ga-DO3A-VS-Cys40-Tuna-2 (glucagon receptor tracer)

    Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

  • Pharmaceutical form: Solution for injection Route of administration: Subcutaneous

06

What researchers measure

Primary outcomes

  1. Glucagon receptor occupancy

    Change of glucagon receptor tracer binding in the liver with SAR425899 between Day 1 and Day 20

    Time frame: Day 1 and Day 20

Secondary outcomes

  1. GLP-1 receptor occupancy

    Change of GLP-1 receptor tracer binding in the pancreas with SAR425899 between Day 1 and Day 17

    Time frame: Day 1 and Day 17

  2. Adverse events

    Number of adverse events in patients under treatment with SAR425899

    Time frame: Up to 27 days

  3. Pharmacokinetics

    Assessment of SAR425899 maximum plasma concentration (Cmax)

    Time frame: Day 20

  4. Change in fasting plasma glucose (FPG)

    Absolute change in FPG from baseline to Day 20

    Time frame: Day 1 to Day 20

  5. Change in ketone bodies

    Absolute change in ketone bodies from baseline to Day 20

    Time frame: Day 1 to Day 20

  6. Change lipid biomarkers

    Absolute change cholesterol from baseline to Day 20

    Time frame: Day 1 to Day 20

  7. Change in volume of distribution (Vt) in the liver

    Change of glucagon receptor tracer Vt in the liver with SAR425899 between Day 1 and Day 20

    Time frame: Day 1 and Day 20

  8. Change in Vt in the pancreas

    Change of GLP-1 receptor tracer Vt in the pancreas with SAR425899 between Day 1 and Day 17

    Time frame: Day 1 and Day 17

  9. Average standard uptake values (SUVs) of PET tracers in the liver and pancreas

    Average SUVs for glucagon and GLP-1 tracer in liver and pancreas

    Time frame: Day 1, Day 17 and Day 20

  10. Pharmacokinetics

    Assessment of SAR425899 time to reach Cmax ( tmax)

    Time frame: Day 20

  11. Pharmacokinetics

    Assessment of SAR425899 area under the concentration versus time curve (AUC)

    Time frame: Day 20

  12. Pharmacokinetics

    Assessment of SAR425899 terminal elimination half-life ( t1/2)

    Time frame: Day 20

  13. Pharmacokinetics

    Assessment of SAR425899 total body clearance from the plasma (CL)

    Time frame: Day 20

  14. Change lipid biomarkers

    Absolute change in free fatty acids from baseline to Day 20

    Time frame: Day 1 to Day 20

  15. Change lipid biomarkers

    Absolute change in triglycerides from baseline to Day 20

    Time frame: Day 1 to Day 20

07

Study locations

1 site
  • Investigational Site Number 7520001
    Uppsala, 75237, Sweden
08

References and documents

Publications

  • Eriksson O, Velikyan I, Haack T, Bossart M, Laitinen I, Larsen PJ, Berglund JE, Antoni G, Johansson L, Pierrou S, Tillner J, Wagner M. Glucagonlike Peptide-1 Receptor Imaging in Individuals with Type 2 Diabetes. J Nucl Med. 2022 May;63(5):794-800. doi: 10.2967/jnumed.121.262506. Epub 2021 Sep 9. PubMed 34503957 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Jun 2018, 5 months.

Of 453 industry-sponsored phase 1 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 11. This study's 5 months is close to that.

Counting every sponsor, half of 515 studies reached it within 6 months; a quarter within 2 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 16, 2017
First posted
Nov 22, 2017
StartActual
Dec 20, 2017
Primary completionActual
Jun 7, 2018
CompletionActual
Jun 7, 2018
Last update
Apr 25, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03350191
Lead sponsor
Sanofi
Collaborators
Antaros Medical
Responsible party
Sponsor
First posted
Nov 22, 2017
Start date
Dec 20, 2017
Primary completion
Jun 7, 2018
Completion
Jun 7, 2018
Last update
Apr 25, 2022

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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