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SAR245408

Phase 1

Neoplasm Malignant | Small molecule | Oncology |Sanofi|Last Updated: Apr 19, 2022

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials3
Total Enrollment89

FDA Designations

No designations recorded

Clinical trial landscape

SAR245408 · 4 trials · 2 indications

Phase 1 4
NCT01943838A Study of the Safety and Pharmacokinetics of SAR245408 Tablets in Patients With Solid Tumors or LymphomaNeoplasm Malignant
COMPLETED18 Analytics
NCT01587040Open Label Treatment Extension Study With SAR245408 or SAR245409 as a Monotherapy or as a Combination RegimenNeoplasm Malignant
COMPLETED61 Analytics
NCT01392924Safety and Pharmacokinetics of SAR245408 Daily Oral in Patients With Solid TumorsNeoplasm Malignant
COMPLETED10 Analytics
NCT01357330Oral SAR245408 (XL147) and Oral MSC1936369B in Patients With Locally Advanced or Metastatic Solid TumorsSolid Tumors
COMPLETED18 Analytics
PHASE1COMPLETED
A Study of the Safety and Pharmacokinetics of SAR245408 Tablets in Patients With Solid Tumors or Lymphoma
Neoplasm MalignantUnlock trial analytics
PHASE1COMPLETED
Open Label Treatment Extension Study With SAR245408 or SAR245409 as a Monotherapy or as a Combination Regimen
Neoplasm MalignantUnlock trial analytics
PHASE1COMPLETED
Safety and Pharmacokinetics of SAR245408 Daily Oral in Patients With Solid Tumors
Neoplasm MalignantUnlock trial analytics
PHASE1COMPLETED
Oral SAR245408 (XL147) and Oral MSC1936369B in Patients With Locally Advanced or Metastatic Solid Tumors
Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Dose Limiting Toxicities
Up to Day 28
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
From Baseline up to 30 days after the last dose (maximum exposure: 1959 days)

Any untoward medical occurrence in a participant who received IMP was considered an AE without regard to possibility of causal relationship with this treatment. Serious adverse event (SAE): any untoward medical occurrence that resulted in any of the following outcomes: death, life-threatening, required initial/prolonged in-patient hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect/considered as medically important event. TEAEs: AEs that developed/worsened/became serious during on-treatment period (time from IMP until 30 days after last dose of any IMP). Any TEAE included participants with both SAE \& non-SAEs. TEAE included participants with any treatment-emergent SAE (TESAE). TEAEs that led to death, dose reduction and/or delay, discontinuation \& AEs related to treatment were reported. Grades (3=severe, 4=life-threatening/disabling) represents severity of AEs.

Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Hematological Parameters
From Baseline up to 30 days after the last dose (maximum exposure: 1959 days)

Hematological parameters assessed were anemia, neutropenia and thrombocytopenia. Parameters were assessed as per the National Cancer Institute Common Terminology Criteria for Adverse Experience version 4.03 (NCI-CTCAE v 4.03), where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Number of Participants With Potentially Clinically Significant Laboratory Abnormalities: Biochemical Parameters
From Baseline up to 30 days after the last dose (maximum exposure: 1959 days)

Biochemical parameters assessed were hyperglycemia, aspartate aminotransferase (ASAT) increased, alanine aminotransferase (ALAT) increased, hyperbilirubinemia, hypocalcemia, creatinine increased. Parameters were assessed as per the NCI-CTCAE v 4.03, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Dose limiting toxicity in cycle 1
4 weeks
Identification of maximum tolerated dose
up to 4 years

Secondary Endpoints

Number of patients with treatment-emergent adverse events
From first dose of SAR245408 up to 30 days after the last dose
Maximum SAR245408 plasma concentration
Days 1, 2, 8, 15, 29 and 30
Area under the SAR245408 plasma concentration versus time curve
Days 1, 2, 8, 15, 29 and 30
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SAR245408 polymorph E tabletsEXPERIMENTALEscalating doses of SAR245408 polymorph E tablets, once daily dosing with morning meal every day for two 28-days cycles
SAR245408: MonotherapyEXPERIMENTALParticipants received SAR245408 400 milligrams (mg) once daily or at the established dose as monotherapy in the parental study until disease progression, unacceptable toxicity, withdrawal of consent, or until commercial supplies of SAR245408 were available (up to 1959 days).
SAR245408: Combination RegimenEXPERIMENTALParticipants received SAR245408 400 mg once daily or at the established dose as combination regimen in the parental study until disease progression, unacceptable toxicity, withdrawal of consent, or until commercial supplies of SAR245408 were available (up to 1959 days). Commercially available drugs were used as combination medications with SAR245408 (depending on the parental study, the following drugs were used in combination with SAR245408: paclitaxel and carboplatin, letrozole, trastuzumab, paclitaxel and trastuzumab).
SAR245409: MonotherapyEXPERIMENTALParticipants received SAR245409 50 mg twice daily or at the established dose as monotherapy in the parental study until disease progression, unacceptable toxicity, withdrawal of consent, or until commercial supplies of SAR245409 were available (up to 1917 days).
SAR245409: Combination RegimenEXPERIMENTALParticipants received SAR245409 50 mg twice daily or at the established dose as combination regimen in the parental study until disease progression, unacceptable toxicity, withdrawal of consent, or until commercial supplies of SAR245409 were available (up to 1917 days). Commercially available drugs were used as combination medications with SAR245409 (depending on the parental study, the following drugs were used in combination with SAR245409: letrozole, temozolomide, rituximab, bendamustine and rituximab).
SAR245408EXPERIMENTALsingle cohort: SAR245408 administered once daily
Dose EscalationEXPERIMENTALDose escalation phase The starting dose of SAR245408 will be 25-mg once daily (up to 200-mg). The starting dose of MSC1936369B will be 15- mg once daily (up to 90-mg)

Interventions

NameTypeDescription
SAR245408DRUGPharmaceutical form: tablet Route of administration: oral
SAR245409DRUGPharmaceutical form: capsule or tablet Route of administration: oral
SAR245408 (XL147)DRUGPharmaceutical form:capsule and tablet Route of administration: oral
MSC1936369BDRUGPharmaceutical form:capsule Route of administration: oral
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion criteria : * Solid tumor that is metastatic or unresectable, or relapsed or refractory lymphoma (including chronic lymphocytic leukemia/small lymphocytic lymphoma), for which standard therapies are no longer effective or there are no therapies known to prolong survival or patient cannot t...

Countries:BelgiumUnited StatesFranceSpainJapan
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Frequently asked questions about SAR245408

What is SAR245408 used for?

SAR245408 is an investigational small molecule being studied for the treatment of solid tumors and malignant neoplasms. It is in Phase 1 clinical development, meaning it has not yet been approved by regulatory authorities. Clinical trials have evaluated it in patients with locally advanced or metastatic solid tumors and other malignant conditions.

Who makes SAR245408?

SAR245408 is being developed by Sanofi, a biopharmaceutical company traded on the stock exchange under the ticker symbol SNY. The drug is currently in Phase 1 clinical trials for oncology indications, specifically solid tumors and malignant neoplasms.

What phase is SAR245408 in?

SAR245408 is in Phase 1 clinical development. All completed trials for this drug are Phase 1 studies, and it remains investigational. It has not received FDA approval and is still being evaluated for safety and pharmacokinetics in patients with solid tumors or lymphoma.

What clinical trials is SAR245408 in?

SAR245408 has been studied in four completed Phase 1 trials: NCT01357330 (combination with MSC1936369B in solid tumors), NCT01392924 (daily oral dosing in Japanese patients), NCT01587040 (open-label extension study), and NCT01943838 (safety and pharmacokinetics in solid tumors or lymphoma). All trials are completed.

Is SAR245408 the same as XL147?

Yes, SAR245408 is also known as XL147. One clinical trial, NCT01357330, explicitly refers to the drug as 'Oral SAR245408 (XL147)' in its title. This alternative name may appear in scientific literature and clinical trial registries.