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First-in-human Study of SAR443765 in Healthy Participants and in Asthmatic Participants

Primary Purpose

Asthma

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SAR443765
Placebo
Salbutamol or levosalbutamol
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of asthma for at least 12 months and confirmed at screening based on the Global Initiative for Asthma (GINA) 2020 Guidelines
  • Controlled asthma documented by an asthma control questionnaire-5 (ACQ-5) score of <1.5
  • Elevated FeNO level defined as ≥25 ppb
  • Participants, using as-needed SABA, ICS-naïve or with existing stable treatment (at least for 3 months prior to screening) with low to medium daily dose ICS (≤500 mcg of fluticasone propionate or comparable ICS daily dosage) potentially in combination with a LABA and/or LAMA as second controller, and/or with stable daily leukotriene receptor antagonist, leukotriene synthesis inhibitor and/or chromones
  • Prebronchodilator forced expiratory volume in 1 second (FEV1) ≥60% of predicted normal
  • Reversibility of at least 12% and 200 mL in FEV1 or forced vital capacity (FVC) after administration of 4 puffs (400 mcg) of albuterol/salbutamol or levalbuterol/levosalbutamol during screening or documented history of a reversibility test that meets this criteria within 5 years prior to screening or documented positive response to methacholine challenge (a decrease in FEV1 by 20% [PC20] of <8 mg/mL) within 5 years prior to screening visit
  • Body weight between 50.0 and 105.0 kg, inclusive, if male, and between 40.0 and 95.0 kg, inclusive, if female, body mass index between 18.0 and 32.0 kg/m2
  • Male participants are eligible to participate if they use condom during study period
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: Is a woman of non-childbearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and agrees to use a contraceptive method that is highly effective
  • A WOCBP must have a negative highly sensitive pregnancy test within 36 hours before the first administration of study intervention

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

  • Any clinically relevant abnormal findings in medical history, physical examination, vital signs, 12-lead ECG.
  • Chronic lung disease, or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts.
  • History of life-threatening asthma, asthma exacerbation or use of systemic steroid within 3 months prior to screening visit
  • Worsening of asthma or respiratory infection within the last 6 weeks prior screening visit.
  • Symptomatic postural hypotension,history or presence of drug or alcohol abuse, current smoker or previous smoker with a smoking history >10 pack-years.
  • Excessive consumption of beverages containing xanthine bases (more than 4 cups or glasses per day).

NOTE: Other Inclusion/Exclusion criteria may apply. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number :2760001
  • Investigational Site Number :8260001

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

SAR443765

Placebo

Arm Description

Single dose administration of SAR443765

Placebo to match SAR443765

Outcomes

Primary Outcome Measures

Number of participants with adverse events (AEs) /TEAEs
Incidence of adverse events (AEs) and treatment-emergent adverse events (TEAEs)

Secondary Outcome Measures

Pharmacokinetic (PK) assessment: Cmax
Observed maximum plasma concentration
Pharmacokinetic (PK) assessment: AUClast
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast
Pharmacokinetic (PK) assessment: AUC
Area under the serum concentration versus time curve extrapolated to infinity
Change in Nitric Oxide (FeNO) level
Change from Baseline in FeNO level at Day 29
Presence of Anti-SAR443765 antibodies (ADA)
Number of participant with SAR443765 antibodies
Total (free + bound) serum target concentrations of TSLP
Change from baseline in total serum target concentrations of TSLP
Total (free + bound) serum target concentrations of IL-13
Change from baseline in total serum target concentrations of IL-13

Full Information

First Posted
May 4, 2022
Last Updated
April 11, 2023
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT05366764
Brief Title
First-in-human Study of SAR443765 in Healthy Participants and in Asthmatic Participants
Official Title
A Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Single and Multiple Ascending Doses of SAR443765 in Healthy Adult Participants and of a Single Dose of SAR443765 in Participants With Mild-to-moderate Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
June 8, 2022 (Actual)
Primary Completion Date
February 24, 2023 (Actual)
Study Completion Date
February 24, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a 3-part, parallel group treatment, Phase 1, randomized, double-blind, placebo-controlled study to assess the safety, tolerability and pharmacokinetics after sequential single and multiple ascending doses of SAR443765 in healthy adult participants, and after a single dose of SAR443765 in participants with mild-to-moderate asthma.
Detailed Description
The anticipated study duration per participant is up to 14 weeks

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
36 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SAR443765
Arm Type
Experimental
Arm Description
Single dose administration of SAR443765
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo to match SAR443765
Intervention Type
Drug
Intervention Name(s)
SAR443765
Intervention Description
solution for injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
solution for injection
Intervention Type
Drug
Intervention Name(s)
Salbutamol or levosalbutamol
Intervention Description
metered dose inhaler
Primary Outcome Measure Information:
Title
Number of participants with adverse events (AEs) /TEAEs
Description
Incidence of adverse events (AEs) and treatment-emergent adverse events (TEAEs)
Time Frame
From baseline up to Day 71
Secondary Outcome Measure Information:
Title
Pharmacokinetic (PK) assessment: Cmax
Description
Observed maximum plasma concentration
Time Frame
From baseline up to Day 71
Title
Pharmacokinetic (PK) assessment: AUClast
Description
Area under the plasma concentration versus time curve calculated using the trapezoidal method from time zero to the real time tlast
Time Frame
From baseline up to Day 71
Title
Pharmacokinetic (PK) assessment: AUC
Description
Area under the serum concentration versus time curve extrapolated to infinity
Time Frame
From baseline up to Day 71
Title
Change in Nitric Oxide (FeNO) level
Description
Change from Baseline in FeNO level at Day 29
Time Frame
Day 1 and Day 29
Title
Presence of Anti-SAR443765 antibodies (ADA)
Description
Number of participant with SAR443765 antibodies
Time Frame
From baseline up to Day 71
Title
Total (free + bound) serum target concentrations of TSLP
Description
Change from baseline in total serum target concentrations of TSLP
Time Frame
From baseline up to Day 71
Title
Total (free + bound) serum target concentrations of IL-13
Description
Change from baseline in total serum target concentrations of IL-13
Time Frame
From baseline up to Day 71

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of asthma for at least 12 months and confirmed at screening based on the Global Initiative for Asthma (GINA) 2020 Guidelines Controlled asthma defined as no more than 1 canister of rescue inhaler per month over the last 3 months prior to baseline Elevated FeNO level defined as ≥25 ppb Participants, using as-needed SABA, ICS-naïve or with existing stable treatment (at least for 3 months prior to screening) with low to medium daily dose ICS (≤500 mcg of fluticasone propionate or comparable ICS daily dosage) potentially in combination with a LABA and/or LAMA as second controller, and/or with stable daily leukotriene receptor antagonist, leukotriene synthesis inhibitor and/or chromones Prebronchodilator forced expiratory volume in 1 second (FEV1) ≥60% of predicted normal Reversibility of at least 12% and 200 mL in FEV1 or forced vital capacity (FVC) after administration of 4 puffs (400 mcg) of albuterol/salbutamol or levalbuterol/levosalbutamol during screening or documented history of a reversibility test that meets this criteria within 5 years prior to screening or documented positive response to methacholine challenge (a decrease in FEV1 by 20% [PC20] of <8 mg/mL) within 5 years prior to screening visit Body weight between 50.0 and 105.0 kg, inclusive, if male, and between 40.0 and 95.0 kg, inclusive, if female, body mass index between 18.0 and 32.0 kg/m2 Male participants are eligible to participate if they use condom during study period A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: Is a woman of non-childbearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and agrees to use a contraceptive method that is highly effective A WOCBP must have a negative highly sensitive pregnancy test within 36 hours before the first administration of study intervention Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: Any clinically relevant abnormal findings in medical history, physical examination, vital signs, 12-lead ECG. Chronic lung disease, or another diagnosed pulmonary or systemic disease associated with elevated peripheral eosinophil counts. History of life-threatening asthma, asthma exacerbation or use of systemic steroid within 3 months prior to screening visit Worsening of asthma or respiratory infection within the last 6 weeks prior screening visit. Symptomatic postural hypotension,history or presence of drug or alcohol abuse, current smoker or previous smoker with a smoking history >10 pack-years. Excessive consumption of beverages containing xanthine bases (more than 4 cups or glasses per day). NOTE: Other Inclusion/Exclusion criteria may apply. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number :2760001
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Investigational Site Number :8260001
City
Belfast
ZIP/Postal Code
BT9 6AD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
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

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First-in-human Study of SAR443765 in Healthy Participants and in Asthmatic Participants

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