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SAR425899

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Sanofi|Last Updated: Apr 25, 2022

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment469

FDA Designations

No designations recorded

Clinical trial landscape

SAR425899 · 5 trials · 1 indication

Phase 2 1Phase 1 4
NCT02973321A Study to Assess the Safety and Efficacy of SAR425899 in Patients With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED296 Analytics
PHASE2COMPLETED
A Study to Assess the Safety and Efficacy of SAR425899 in Patients With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in HbA1c to Week 26
Baseline, Week 26

Change in HbA1c was calculated by subtracting baseline value from Week 26 value. Missing post-baseline values were imputed by placebo control-based multiple imputation (MI) method under the missing not at random framework.

Sleep energy expenditure
Baseline to Day 19

Change of sleep energy expenditure from baseline to Day 19 with SAR425899 or placebo

Frequency of gastrointestinal (GI) adverse events (AEs)
Main study: Up to week 8; Six-month study extension period: Up to month 8

Relative frequency of GI AEs

Frequency of GI AEs
Main study: Up to week 8; Six-month study extension period: Up to month 8

Absolute frequency of GI AEs

Glucagon receptor occupancy
Day 1 and Day 20

Change of glucagon receptor tracer binding in the liver with SAR425899 between Day 1 and Day 20

Number of adverse events
28 to 35 days

Secondary Endpoints

Mean Change From Baseline in Body Weight to Week 26
Baseline, Week 26
Percentage of Participants Reached HbA1c Target of <6.5% or <7% at Week 26
Week 26
Percentage of Participants Achieving >=5% or >=10% Body Weight Loss at Week 26
Week 26
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo (for SAR425899) subcutaneous (SC) injection once daily (QD) from Week 1 to Week 26, matching 3 SAR425899 dose levels of 0.12 mg, 0.16 mg and 0.20 mg.
SAR425899 0.12 mgEXPERIMENTALSAR425899 SC injection QD at maintenance dose of 0.12 mg for 25 weeks (Week 2 to Week 26) following 1 week dose increase step (0.06 mg at Week 1).
SAR425899 0.16 mgEXPERIMENTALSAR425899 SC injection QD at maintenance dose of 0.16 mg for 24 weeks (Week 3 to Week 26) following 2 weeks dose increase step (0.06 mg at Week 1 and 0.12 mg at Week 2).
SAR425899 0.20 mgEXPERIMENTALSAR425899 SC injection QD at maintenance dose of 0.20 mg for 23 weeks (Week 4 to Week 26) following 3 weeks dose increase step (0.06 mg at Week 1, 0.12 mg at Week 2 and 0.16 mg at Week 3).
LiraglutideACTIVE_COMPARATORLiraglutide SC injection QD at maintenance dose of 1.8 mg for 24 weeks (Week 3 to Week 26) following 2 weeks dose increase steps (0.6 mg daily at Week 1 and by 1.2 mg daily at Week 2).
SAR425899EXPERIMENTALRepeated once daily subcutaneous (SC) doses of SAR425899 administered over 19 days
Cohort 1EXPERIMENTALDaily 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.
Cohort 2EXPERIMENTALWeekly 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.
Cohort 3EXPERIMENTALWeekly 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.
SAR425899 high doseEXPERIMENTALRepeated once daily subcutaneous (SC) doses of SAR425899 administered over 20 days
SAR425899 low doseEXPERIMENTALRepeated once daily SC doses of SAR425899 administered over 20 days
SAR425899 (healthy subjects)EXPERIMENTALOnce daily SC doses of SAR425899
Placebo (healthy subjects)PLACEBO_COMPARATOROnce daily SC doses of placebo
SAR425899 (T2DM Patients)EXPERIMENTALOnce daily SC doses of SAR425899 and two up titration steps in each dose cohort with metformin as background therapy
Placebo (T2DM Patients)PLACEBO_COMPARATOROnce daily SC doses of placebo and two up titration steps in each dose cohort with metformin as background therapy

Interventions

NameTypeDescription
SAR425899DRUGSelf-administered by SC injection using a solution for injection in cartridge.
PlaceboDRUGSelf-administered by SC injection using a solution for injection in cartridge.
LiraglutideDRUGSelf-administered by SC injection using a pre-filled pen.
MetforminDRUGOrally administered at a stable dose , \>=1500 mg daily stable dose or maximal tolerated dose.
[68Ga] Ga-DO3A-VS-Cys40-Tuna-2 (glucagon receptor tracer)DRUGPharmaceutical form: Solution for injection Route of administration: Subcutaneous
[68Ga] Ga-DO3A-VS-Cys40-Exendin-4 (GLP-1 receptor tracer)DRUGPharmaceutical form: Solution for injection Route of administration: Subcutaneous
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites59

Inclusion criteria : * Participants with type-2 diabetes mellitus (T2DM) for at least 3 months before the screening visit. * On diet/exercise and/or treatment with metformin (stable dose of ≥1500 mg/day or maximal tolerated dose) for at least 3 months prior to screening. * Signed informed consent. ...

Countries:United StatesCanadaCzechiaGermanyHungaryMexicoRussiaSpainSweden
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Frequently asked questions about SAR425899

What is SAR425899 used for?

SAR425899 is an investigational small molecule being developed for Type 2 Diabetes Mellitus. It is currently in Phase 2 clinical development and has been studied in overweight to obese patients with Type 2 Diabetes Mellitus, as well as in healthy subjects. The drug is not yet approved and remains in clinical trials.

Who makes SAR425899?

SAR425899 is being developed by Sanofi, a global biopharmaceutical company listed on the stock exchange under the ticker SNY. Sanofi is conducting clinical trials to evaluate the safety, tolerability, and effects of SAR425899 in patients with Type 2 Diabetes Mellitus.

What phase is SAR425899 in?

SAR425899 is currently in Phase 2 clinical development for Type 2 Diabetes Mellitus. It is an investigational drug and has not been approved by regulatory authorities. The drug has completed five clinical trials, with no active trials currently ongoing.

What clinical trials has SAR425899 been in?

SAR425899 has been studied in five completed clinical trials, including NCT02411825, NCT03350191, NCT03376802, and NCT03414736. These trials evaluated multiple ascending doses, binding to liver and pancreas, effects on energy expenditure, and safety and tolerability in overweight to obese subjects and Type 2 Diabetes Mellitus patients.

Is SAR425899 FDA approved?

SAR425899 is not FDA approved. It is an investigational drug currently in Phase 2 clinical development for Type 2 Diabetes Mellitus. The drug has completed several clinical trials, but it has not received regulatory approval and remains under investigation by its developer, Sanofi.