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SAR425899

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment469
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02973321A Study to Assess the Safety and Efficacy of SAR425899 in Patients With Type 2 Diabetes MellitusPHASE2 COMPLETED 296Dec 2, 2016Dec 27, 2017Mar 24, 202259 United States, Canada +6
NCT03376802A Clinical Study to Investigate the Effect of SAR425899 on Energy Expenditure in Obese SubjectsPHASE1 COMPLETED 24Apr 18, 2018Dec 27, 2018Apr 25, 20222 United States
NCT03414736A Study on Safety and Tolerability of SAR425899 in Overweight to Obese Subjects and Type 2 Diabetes Mellitus Patients Not Requiring Anti-Diabetic Pharmacotherapy With an Optional 6-month Safety Extension PeriodPHASE1 COMPLETED 60Jan 19, 2018Oct 5, 2018Apr 25, 20223 United States
NCT03350191A Clinical Study to Investigate if SAR425899 Binds to the Liver and Pancreas in Overweight to Obese Type 2 Diabetes Mellitus PatientsPHASE1 COMPLETED 13Dec 20, 2017Jun 7, 2018Apr 25, 20221 Sweden
NCT02411825Multiple Ascending Dose Study in Healthy Male Subjects and Overweight to Obese Male and Female Type 2 Diabetes Mellitus (T2DM) PatientsPHASE1 COMPLETED 76Mar 1, 2015Jan 1, 2016Jun 15, 20181 Germany
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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 — 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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