ClinicalTrials.gg
TerminatedNCT05231668Updated Sep 11, 2025

Single Ascending Dose Study of SAR439459 in Adults With Osteogenesis Imperfecta (OI)

A Phase 1 interventional study of SAR439459 and Placebo in Osteogenesis Imperfecta, sponsored by Sanofi. Terminated at 13 sites in 4 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Sanofi · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Nov 2024, 2 years ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

SAR439459 is a human anti-Transforming growth factor β (TGFβ) monoclonal antibody. This phase 1 clinical study investigates the safety, tolerability, and activity of a single dose of SAR439459 in adult participants with OI.

Participants will receive a single IV dose of SAR439459 with safety, pharmacokinetic (PK), and pharmacodynamic (PD) assessments over 24 weeks.

There will be up to 3 dose cohorts. In addition to safety, tolerability, and PK assessments, bone mineral density (BMD) will be evaluated by dual-energy Xray absorptimetry (DXA) scan and a series of blood biomarkers will be monitored to document pharmacodynamic effects of the single dose of SAR439459.

Read the detailed description

The duration of the study for all participants will be approximately 29 weeks:

  • Up to 5 weeks from initiation of screening to dose administration
  • Treatment on Day 1
  • Follow-up and observation of safety and PD for 24 weeks
  • Final study visit at Week 24
02

Conditions studied

  • Osteogenesis Imperfecta
03

In context

Osteogenesis Imperfecta

84 studies on the registry are indexed under Osteogenesis Imperfecta; 20 are open to participants now.

This study's enrollment of 16 is below the median of 28 across 60 interventional studies indexed under Osteogenesis Imperfecta.

Browse Osteogenesis Imperfecta studies →

Lead sponsor

Sanofi is the lead sponsor of 1,557 studies on the registry; 91 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 123 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 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

  • Participants who are clinically categorized as Type I or IV osteogenesis imperfecta with a previously documented pathogenic genetic variant in human collagen type 1 alpha 1 gene (COL1A1) or human collagen type 1 alpha 2 gene (COL1A2).
  • Participants who have experienced at least 1 bone fracture in the past 10 years OR 2 or more (≥2) fractures since the age of 18.
  • Body weight ≥30.0 kg.
  • for sexually active male participants or female patient; not pregnant or breastfeeding; no sperm donating for male participant.
  • Signed written informed assent/consent.

Exclusion criteria

Exclusion Criteria:

  • Previously installed rods or metal hardware that would prevent bone mineral density evaluation of the lumbar spine (note: only two of the L1-L4 vertebrae are necessary for evaluation).
  • History of moderate (25-40°) to severe (>40°) scoliosis assessed as Cobb angle (unless scoliosis does not impact assessment of bone mineral density in the lumbar vertebrae in the opinion of the investigator).
  • women who:

    • Are within 5 years of the onset of menopause (for example less than 5 years from their last menstruation or post-hysterectomy), however if the person has been on hormone replacement therapy for more than 1 year prior to enrollment, then they are eligible regardless of time from onset of menopause. The person must be willing to continue hormone replacement therapy throughout the study duration. OR
    • Were previously on hormone replacement therapy but have stopped within the past 5 years.
  • History of treatment with denosumab, anti-sclerostin antibody, parathyroid hormone, bisphosphonates, or any other experimental therapy for OI within 6 months prior to any study baseline assessment.
  • Known bleeding disorder.
  • History of significant bleeding event that required hospitalization, surgery, or a blood transfusion that was possibly associated with increased bleeding tendency.
  • Any major surgery within the last 28 days prior to medicinal product (IMP) administration.
  • Elective surgery or invasive procedure anticipated within 6 months after the IMP administration.
  • Therapeutic doses of anticoagulants or antiplatelet agents (eg, 1 mg/kg bid of enoxaparin, 300 mg of aspirin daily, and 75 mg of clopidogrel daily or equivalent) within 7 days prior to the IMP administration.
  • Any known central nervous system (CNS) or intraocular lesion that has a risk of bleeding.
  • Prior history of skin cancers including melanoma, squamous cell carcinoma, or basal cell carcinoma.
  • cardiac valvular disorder or symptomatic heart failure.
  • Vitamin D (25-hydoxyvitamin D) \<15 ng/dL; rescreening will be allowed after supplementation.

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

Terms in these criteria, in plain language(4)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    SAR439459

    Participants will receive a single dose of SAR439459

    Drug: SAR439459

  • Placebo comparator
    Placebo

    Participants will receive a single dose of placebo

    Drug: Placebo

Interventions

  • Powder for solution for infusion; IV infusion

  • DrugPlacebo

    Solution for infusion; IV infusion

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs)/treatment-emergent adverse events (TEAEs)

    Time frame: From baseline to Week 24

Secondary outcomes

  1. Assessment of PK parameters: area under the curve (AUC)

    Time frame: From baseline to Week 24

  2. Assessment of PK parameters: maximum serum concentration observed (Cmax)

    Time frame: From baseline to Week 24

  3. Assessment of PK parameters: time to reach maximum concentration observed (tmax)

    Time frame: From baseline to Week 24

  4. Titer of anti-SAR439459 antibodies (if detected)

    Time frame: From baseline to Week 24

  5. Percent change from baseline in bone mineral density (BMD)

    Time frame: From baseline to Week 24

07

Study locations

13 sites
  • UCLA Health_Site Number: 8400006
    Los Angeles, California 90095, United States
  • Yale University - Site Number:8400007
    New Haven, Connecticut 06510, United States
  • Indiana University School of Medicine_Site Number: 8400002
    Indianapolis, Indiana 46202, United States
  • Kennedy Krieger Institute_Site number 8400004
    Baltimore, Maryland 21205, United States
  • Cincinnati Children's Hospital Medical Center Site Number : 8400010
    Cincinnati, Ohio 45229, United States
  • Vanderbilt University Site Number : 8400011
    Nashville, Tennessee 37232, United States
  • Baylor College of Medicine - Site Number:8400003
    Houston, Texas 77030, United States
  • Westmead Hospital_Site Number :0360003
    Westmead, New South Wales 2145, Australia
  • Department of Medicine/ School of Clinical Sciences at Monash Health Monash University_246 Clayton Road_Site Number :0360002
    Clayton, Victoria 3168, Australia
  • Bone Research and Education Centre_Site Number :1240003
    Oakville, Ontario L6M 1M1, Canada
  • Toronto general Hospital_Site Number :1240002
    Toronto, M5G 2C4, Canada
  • Hopital Edouard Herriot _Site Number :2500002
    Lyon, 69003, France
  • Hopital Lariboisiere_Site Number :2500001
    Paris, 75010, France
08

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

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05231668
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Feb 9, 2022
Start date
Aug 25, 2022
Primary completion
Nov 12, 2024
Completion
Nov 12, 2024
Last update
Sep 11, 2025

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 ↗

Not currently enrolling

This study is terminated, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: SAR-439459

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