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RecruitingNCT07215234Updated Sep 22, 2026

A Safety and Efficacy Study of a One-time Intravitreal Injection of SAR446597 in Participants With Geographic Atrophy Secondary to Age-related Macular Degeneration

A Phase 1/2 interventional study of SAR446597 and Sham Comparator in Geographic Atrophy, sponsored by Sanofi. Recruiting at 32 sites in 3 countries. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Sanofi · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
60 Years and older
Sex
All
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Study summary

This is a sequential Phase 1/2, two-part, multicenter study on safety, tolerability, and efficacy of one-time intravitreal SAR446597 for the treatment of participants with Geographic Atrophy (GA) secondary to Age-related Macular Degeneration (AMD).

The core phase duration will be approximately 2 years for each participant. An Extended Follow-Up (EFU) phase of 3 years follows the core phase.

The treatment is a one-time intravitreal injection of SAR446597 (or sham as applicable in Part II).

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Conditions studied

  • Geographic Atrophy

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03

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 60 years old or above
  • Participants with diagnosis of GA secondary to age-related macular degeneration (AMD)
  • Study eye with best corrected visual acuity (BCVA) ETDRS Snellen equivalent for dose escalation (Part I) between 20/40 and 20/320 and for expansion (Part II) equal or better than 20/200
  • Study eye with GA lesion measuring between 2.5 and 17.5 mm2 for dose escalation (Part I) and between 2.5 and 14.0 mm2 for expansion (Part II). For multifocal disease, study eye with at least one single lesion of more than 1.25mm2 for both Part I and Part II

Exclusion criteria

Exclusion Criteria:

  • GA in the study eye caused by a disease different than AMD
  • Presence of neovascularization or a history of treatment with an anti vascular endothelial growth factor agent in the study eye
  • Any condition or treatment (ocular or systemic) or medical or surgical history in the study eye that may prevent visual acuity improvement or interfere with ocular safety or efficacy assessments
  • Current or history of systemic complement targeting treatment in the past 12 months
  • Use of ocular corticosteroids for 4 months (for ocular or periocular injections), 6 months (for intraocular implants) or 3 years (for long lasting intraocular implants) prior to screening in the study eye
  • History of macular laser photocoagulation treatment, photodynamic- or thermotherapy or photo biomodulation in the study eye
  • History of active ocular infection in the study eye in 6 months prior to screening
  • Presence of active ocular or periocular infections
  • Active uncontrolled glaucoma in the study eye
  • History of uveitis or scleritis in either eye
  • Previous gene therapy in either eye
  • Any significant poorly controlled illness that would preclude study compliance and follow up

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 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
104 participants (estimated)

Study arms

  • Experimental
    Part I - SAR446597 open-label (OL)

    Participants will receive SAR at a dose specified for each cohort. Multiple dose levels of SAR446597 will be evaluated in successive cohorts of participants.

    Drug: SAR446597

  • Experimental
    Part II - SAR446597 Dose A

    Participants will receive SAR at a dose specified for each arm.

    Drug: SAR446597

  • Experimental
    Part II - SAR446597 Dose B

    Participants will receive SAR at a dose specified for each arm.

    Drug: SAR446597

  • Sham comparator
    Part II - Sham control

    Participants will receive Sham at a dose specified for each arm.

    Drug: Sham Comparator

Interventions

  • DrugSAR446597

    Intravitreal injection

  • DrugSham Comparator

    Sham injection

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What researchers measure

Primary outcomes

  1. Incidence and severity of ocular and non-ocular treatment-emergent adverse events (TEAEs)

    Time frame: Day 1 to Week 104

  2. Incidence and severity of ocular and non-ocular treatment-emergent serious adverse events (TESAEs)

    Time frame: Day 1 to Week 104

Secondary outcomes

  1. Change in square root-transformed (mm) and untransformed area (mm2) of GA

    Time frame: Baseline, Week 52, Week 104

  2. Change in best-corrected visual acuity (BCVA) from baseline to Week 52 and Week 104 following SAR446597 administration measured with the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart

    Time frame: Baseline, Week 52, Week 104

  3. Percentage of participants without loss of BCVA of ≥15 ETDRS letters from baseline in the study eye

    Time frame: Baseline, Week 52, Week 104

  4. Incidence and severity of ocular and non-ocular TEAEs and TESAEs including clinically significant changes in safety parameters

    Time frame: Week 260 or End of Study

06

Study locations

32 of 32 sites recruiting
  • Associated Retina Consultants - Peoria- Site Number : 8400011
    Peoria, Arizona 85381, United States
    Recruiting
  • Retina Macula Institute of Arizona- Site Number : 8400028
    Scottsdale, Arizona 85255, United States
    Recruiting
  • Retina-Vitreous Associates Medical Group - Beverly Hills- Site Number : 8400033
    Beverly Hills, California 90211, United States
    Recruiting
  • The Retina Partners- Site Number : 8400040
    Encino, California 91436, United States
    Recruiting
  • Retinal Consultants - Sacramento - Parkcenter Drive- Site Number : 8400054
    Sacramento, California 95825, United States
    Recruiting
  • Macula Retina Vitreous Center - Torrance- Site Number : 8400053
    Torrance, California 90503, United States
    Recruiting
  • Vitreo Retinal Associates - Gainesville- Site Number : 8400004
    Gainesville, Florida 32607, United States
    Recruiting
  • Retina Vitreous Associates of Florida - St. Petersburg- Site Number : 8400002
    St. Petersburg, Florida 33711, United States
    Recruiting
  • Southeast Retina Center- Site Number : 8400044
    Augusta, Georgia 30909, United States
    Recruiting
  • University Retina - Lemont- Site Number : 8400005
    Lemont, Illinois 60439, United States
    Recruiting
  • The Retina Group of Washington - Chevy Chase- Site Number : 8400009
    Chevy Chase, Maryland 20815, United States
    Recruiting
  • Cumberland Valley Retina Consultants - Hagerstown- Site Number : 8400003
    Hagerstown, Maryland 21740, United States
    Recruiting
  • Retina Specialist- Site Number : 8400055
    Towson, Maryland 21204, United States
    Recruiting
  • Sierra Eye Associates- Site Number : 8400021
    Reno, Nevada 89502, United States
    Recruiting
  • North Carolina (Nc) Retina Associates - Wake Forest Office- Site Number : 8400059
    Wake Forest, North Carolina 27587-3803, United States
    Recruiting
  • Oregon Retina- Site Number : 8400017
    Eugene, Oregon 97401, United States
    Recruiting
  • Mid Atlantic Retina - Bethlehem- Site Number : 8400031
    Bethlehem, Pennsylvania 18017-9412, United States
    Recruiting
  • Erie Retina Research- Site Number : 8400035
    Erie, Pennsylvania 16505, United States
    Recruiting
  • Charleston Neuroscience Institute - Ladson- Site Number : 8400016
    Ladson, South Carolina 29456, United States
    Recruiting
  • Charleston Neuroscience Institute - Ladson- Site Number : 8400046
    Ladson, South Carolina 29456, United States
    Recruiting
  • Texas Retina Associates - Arlington- Site Number : 8400056
    Arlington, Texas 76012, United States
    Recruiting
  • Retina Consultants of Austin- Site Number : 8400015
    Austin, Texas 78705, United States
    Recruiting
  • Austin Clinical Research - Austin - Anderson Mill Road- Site Number : 8400007
    Austin, Texas 78750, United States
    Recruiting
  • Retina Consultants of Texas - Bellaire- Site Number : 8400019
    Bellaire, Texas 77401, United States
    Recruiting
  • Retina Foundation of the Southwest- Site Number : 8400001
    Dallas, Texas 75231, United States
    Recruiting
  • Texas Retina Associates - Dallas- Site Number : 8400006
    Dallas, Texas 75231, United States
    Recruiting
  • Retinal Consultants of Texas - San Antonio- Site Number : 8400012
    San Antonio, Texas 78240, United States
    Recruiting
  • Retina Center of Texas (RCT) - Southlake- Site Number : 8400048
    Southlake, Texas 76092, United States
    Recruiting
  • Investigational Site Number : 0360003
    Sydney, New South Wales 2000, Australia
    Recruiting
  • Investigational Site Number : 0360002
    Adelaide, South Australia 5000, Australia
    Recruiting
  • Investigational Site Number : 0360001
    East Melbourne, Victoria 3002, Australia
    Recruiting
  • Investigational Site Number : 8260001
    London, W1G 9AX, United Kingdom
    Recruiting
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.

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Registry details

Key details

Study ID
NCT07215234
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Oct 10, 2025
Start date
Oct 9, 2025
Primary completion
Oct 13, 2027 (estimated)
Completion
Jul 22, 2032 (estimated)
Last update
Sep 22, 2026

Study contacts

Trial Transparency email recommended (Toll free for US & Canada)
Contact
contact-us@sanofi.com
800-633-1610 ext. option 6

Oversight

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

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