SAR439459 for Osteogenesis Imperfecta

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What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called SAR439459 for individuals with osteogenesis imperfecta (OI), a condition that causes brittle bones. The goal is to determine if a single dose of SAR439459 is safe and how it affects the body, particularly bone strength. Participants will receive either the actual treatment or a placebo (a harmless pill resembling the real treatment) and will be monitored for several months. Suitable candidates have either Type I or IV OI and a history of bone fractures. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop taking your current medications. However, if you are on certain treatments like denosumab, anti-sclerostin antibody, parathyroid hormone, bisphosphonates, or any experimental therapy for osteogenesis imperfecta, you must not have used them within 6 months before the study. Also, you should not be on therapeutic doses of anticoagulants or antiplatelet agents within 7 days before the study.

Is there any evidence suggesting that SAR439459 is likely to be safe for humans?

Research on SAR439459, a type of human-made antibody, remains in the early stages. This treatment has not yet been proven safe or effective for treating osteogenesis imperfecta (OI), a condition affecting bones. The current study examines how well patients tolerate a single dose of SAR439459. As a phase 1 study, the primary goal is to identify any side effects and understand how the body processes the drug.

Solid information on human reactions to SAR439459 is not yet available, as this is one of the first tests in humans. The study will monitor participants closely for 24 weeks after receiving the dose to check for any safety issues. Prospective participants would be among the first to help scientists understand how this treatment works in people.12345

Why do researchers think this study treatment might be promising for Osteogenesis Imperfecta?

Most treatments for Osteogenesis Imperfecta, like bisphosphonates, focus on increasing bone density to prevent fractures. But SAR439459 works differently, targeting the disease at a molecular level by blocking the TGF-β pathway, which is involved in bone formation and repair. This novel approach could potentially lead to stronger, more resilient bones without the side effects associated with current therapies. Researchers are excited because this could mean more effective management of the condition with fewer complications.

What evidence suggests that SAR439459 might be an effective treatment for osteogenesis imperfecta?

Research has shown that SAR439459 is a human-made antibody targeting a protein called TGFβ, which influences bone formation. This is crucial for treating osteogenesis imperfecta (OI), a condition that causes fragile bones. In this trial, some participants will receive a single dose of SAR439459, while others will receive a placebo. Although no direct evidence yet supports SAR439459's effectiveness for OI, the treatment aims to strengthen bones by blocking TGFβ's role in weakening them. Early studies in other conditions have shown mixed results, and some concerns about risks exist. More research is needed to determine its effectiveness for OI.12367

Who Is on the Research Team?

CS

Clinical Sciences & Operations

Principal Investigator

Sanofi

Are You a Good Fit for This Trial?

Adults with Osteogenesis Imperfecta (OI) types I or IV, who've had at least one bone fracture in the past decade or two since turning 18. They must weigh over 30 kg and not be pregnant, breastfeeding, or donating sperm. Participants need a documented genetic variant in COL1A1/COL1A2 and must consent to the study.

Inclusion Criteria

I have Type I or IV osteogenesis imperfecta with a known genetic cause.
You have given your written permission to participate in the study.
I am using birth control, not pregnant, not breastfeeding, and if male, not donating sperm.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

Up to 5 weeks

Treatment

Participants receive a single IV dose of SAR439459 or placebo

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety, pharmacokinetics, pharmacodynamics, and bone mineral density over 24 weeks

24 weeks
Multiple visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • SAR439459
Trial Overview The trial is testing SAR439459, an antibody targeting TGFβ, given once via IV to see if it's safe and how it affects people with OI. It includes checking for side effects, how the body processes the drug (PK), its impact on bones (PD), bone density through DXA scans, and blood biomarkers over six months.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: SAR439459Experimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Sanofi

Lead Sponsor

Trials
2,246
Recruited
4,085,000+
Paul Hudson profile image

Paul Hudson

Sanofi

Chief Executive Officer since 2019

Degree in Economics from Manchester Metropolitan University

Christopher Corsico profile image

Christopher Corsico

Sanofi

Chief Medical Officer

MD from Cornell University, MPH in Chronic Disease Epidemiology from Yale University

Citations

Study on Osteogenesis Imperfecta TreatmentThis study investigates the safety and effects of an investigational medication in adults with osteogenesis imperfecta (OI), a genetic condition that causes ...
Single Ascending Dose Study of SAR439459 in Adults ...This phase 1 clinical study investigates the safety, tolerability, and activity of a single dose of SAR439459 in adult participants with OI.
SCW-SPC-2023-001736_Osteogenesis Imperfecta Trial ...This study is the first in a series of planned studies for SAR439459 in the OI population. Patients are not likely to experience significant benefit with ...
4.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38898592/
Findings from a phase 1/1b studyHowever, the study was discontinued due to the unclear efficacy of SAR'459 and bleeding risk, particularly in HCC patients. Trial registration: ClinicalTrials.
SAR439459 for Osteogenesis ImperfectaWhat data supports the effectiveness of the drug SAR439459 for treating osteogenesis imperfecta? There is no direct data on SAR439459 for osteogenesis ...
Single Ascending Dose Study of SAR439459 in Adults ...This phase 1 clinical study investigates the safety, tolerability, and activity of a single dose of SAR439459 in adult participants with OI. Participants will ...
Osteogenesis Imperfecta Clinical TrialsSingle Ascending Dose Study of SAR439459 in Adults With Osteogenesis Imperfecta (OI) ... Participants will receive a single IV dose of SAR439459 with safety ...
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