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CompletedNCT03414736Updated Apr 25, 2022

A Study on Safety and Tolerability of SAR425899 in Overweight to Obese Subjects and Type 2 Diabetes Mellitus Patients Not Requiring Anti-Diabetic Pharmacotherapy With an Optional 6-month Safety Extension Period

A Phase 1 interventional study of SAR425899 in Type 2 Diabetes Mellitus, sponsored by Sanofi. Completed at 3 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-04-25.

Sponsored by Sanofi · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Primary Objectives:

  • Main study: To assess in overweight to obese subjects and type 2 diabetes mellitus (T2DM) patients not requiring anti-diabetic pharmacotherapy the safety and tolerability of 3 different dose escalation regimens of SAR425899 in terms of the relative and absolute frequency and severity of gastrointestinal (GI) adverse events (AEs).
  • Six-month safety extension period: To assess the safety and tolerability of SAR425899 after 6 months treatment at the maximum dose that was individually well tolerated during the main part of the study in terms of the relative and absolute frequency and severity of GI AEs.

Secondary Objectives:

Main study and 6-month study extension period:

To assess in overweight to obese subjects and T2DM patients not requiring anti-diabetic pharmacotherapy:

  • The effect of once-daily dosing of SAR425899 on body weight (BW), fasting plasma glucose (FPG), and hemoglobin A1c (HbA1c).
  • Safety and tolerability.
Read the detailed description

Main study: The maximum study duration is approximately 12 weeks per patient (up-to 3-week screening period, 8-week treatment period, 3-day post treatment follow-up period).

Six-month study extension period: The maximum study duration is approximately 9 months (up-to 3-week screening period, 8-month treatment period, 3-day post treatment follow-up period).

02

Conditions studied

03

Who can participate

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

Inclusion criteria

  • Male or female overweight to obese subjects and type 2 diabetes mellitus (T2DM) patients not requiring anti-diabetic pharmacotherapy.
  • Patients who are motivated to lose weight.

Exclusion criteria

Exclusion criteria:

  • Type 1 diabetes mellitus.
  • Body mass index \<27 kg/m2.
  • Screening hemoglobin A1c (HbA1c; glycosylated hemoglobin) >7.0%.
  • Previous treatment with glucose-lowering agent(s) (eg, insulin, thiazolidinediones, metformin, DPP-IV inhibitors (dipeptidylpeptidase 4), SGLT-2 (sodium dependent glucose transporter-2) inhibitors, etc) within the last 6 months.
  • Previous treatment with glucagon-like peptide 1 (GLP-1) receptor agonists within the last 6 months.
  • Uncontrolled hypertension.
  • Laboratory findings at the time of screening: amylase and/or lipase >2 times the upper limit of the normal laboratory range (ULN), alanine aminotransferase >1.5 ULN, total bilirubin >1.5 ULN, serum creatinine levels ≥1.5 mg/dL [males]. ≥1.4 mg/dL [females], screening calcitonin ≥20 pmol/m, fasting serum triglycerides >400 mg/dL.
  • Personal or immediate family history of medullary thyroid cancer (MTC) or genetic conditions that predispose to MTC.
  • History of weight loss surgery.
  • History of pancreatitis or pancreatectomy.
  • Pregnant or lactating women.
  • Women of childbearing potential (WOCBP) not protected by highly-effective method(s) of birth control and/or who are unwilling or unable to be tested for pregnancy.

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

04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Cohort 1

    Daily dose escalation (click-by-click): Starting at dose 1 in the morning with daily increments to dose 2. During the escalation phase, the dose will only be increased if the patient is feeling fine.

    Drug: SAR425899

  • Experimental
    Cohort 2

    Weekly dose escalation in 6 escalation steps (7 dose levels): Starting at dose 1 injected in the morning with weekly increments to dose 2. In case a dose level is not well tolerated by a patient, the treatment should continue at the same dose level for another 7 days before the next dose escalation.

    Drug: SAR425899

  • Experimental
    Cohort 3

    Weekly dose escalation in 4 escalation steps (5 dose levels): Starting at dose 3 with weekly increments to dose 2. In case a dose level is not well tolerated by a patient, the treatment should continue at the same dose level for another 7 days before the next dose escalation.

    Drug: SAR425899

Interventions

  • DrugSAR425899

    Pharmaceutical form: Solution Route of administration: Subcutaneous

05

What researchers measure

Primary outcomes

  1. Frequency of gastrointestinal (GI) adverse events (AEs)

    Relative frequency of GI AEs

    Time frame: Main study: Up to week 8; Six-month study extension period: Up to month 8

  2. Frequency of GI AEs

    Absolute frequency of GI AEs

    Time frame: Main study: Up to week 8; Six-month study extension period: Up to month 8

  3. Frequency of GI AEs

    Severity of GI AEs

    Time frame: Main study: Up to week 8; Six-month study extension period: Up to month 8

Secondary outcomes

  1. Change in body weight

    Change in body weight from baseline to week 8 for the main study and from baseline to month 8 for the study extension period.

    Time frame: Main study: Baseline (D1) to week 8; Six-month study extension period: Baseline (D1) up to month 8

  2. Change in fasting plasma glucose (FPG)

    Change in FPG from baseline to week 8 for the main study and from baseline to month 8 for the study extension period.

    Time frame: Main study: Baseline (D1) to week 8; Six-month study extension period: Baseline (D1) up to month 8

  3. Change in hemoglobin A1c (HbA1c)

    Change in HbA1c from baseline to week 8 for the main study and from baseline to month 8 for the study extension period.

    Time frame: Main study: Baseline (D1) to week 8; Six-month study extension period: Baseline (D1) up to month 8

  4. Adverse events (AEs)

    Number of AEs

    Time frame: Main study: up to week 8; Six-month extension period: up to month 8

06

Study locations

3 sites
  • Investigational Site Number 8400002
    Saint Paul, Minnesota 55144, United States
  • Investigational Site Number 8400003
    Knoxville, Tennessee 37920, United States
  • Investigational Site Number 8400001
    Austin, Texas 78744, United States
07

References and documents

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

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03414736
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Jan 30, 2018
Start date
Jan 19, 2018
Primary completion
Oct 5, 2018
Completion
Oct 5, 2018
Last update
Apr 25, 2022

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

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

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