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Single & Multiple Ascending Dose Study of SAR443820 in Healthy Adult Participants

Phase 1
Completed
Conditions
Amyotrophic Lateral Sclerosis (Healthy Volunteers)
Interventions
Drug: Placebo
Registration Number
NCT05795907
Lead Sponsor
Sanofi
Brief Summary

This is a Phase 1, single-center study conducted in 2 parts:

Part 1a, single ascending dose (SAD-TDU16519): Double-blind, randomized, placebo-controlled sequential ascending single oral doses including up to 6 cohorts. Each cohort will include 8 participants (6 receiving SAR443820 and 2 placebo).

Part 1b (TDU16519): - Open label, single SAR443820 dose in one or two separated cohort(s) for SAR443820 measurements in CSF and in plasma.

Part 2, multiple ascending dose (MAD -TDR16520): Double-blind, randomized, placebo-controlled, sequential ascending repeated oral doses for 14 days, including up to 4 cohorts. Each cohort will include 10 participants (8 receiving SAR443820 and 2 placebo).

Detailed Description

The duration of the study for a participant will include:

Screening Period: up to 28 days

Part 1a:

Treatment in fasted condition: 1 day (Day 1). Study observation Period from Day -2/Day -1 to Day 3. Follow-up with the end of study: from Day 5 to Day 7. Total duration from screening per participant: up to 5 weeks.

Part 1b:

Treatment in fed condition: 1 day (Day 1). Study observation Period from Day -1/Day1 to Day 2. Follow-up with the end of study: from Day 5 to Day 7. Total duration from screening per participant: up to 5 weeks.

Part 2:

Treatment: 14 days (Day 1 to Day 14). Study observation Period from Day -2/Day -1 to Day 17. Follow-up with the end of study: from Day 19 to Day 21. Total duration from screening per participant: up to 7 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
84
Inclusion Criteria

Male and/or female participant, between 18 and 55 years of age, inclusive. Body weight between 50.0 and 100.0 kg, inclusive, if male, and between 40.0 and 90.0 kg, inclusive, if female, body mass index between 18.0 and 30.0 kg/m2, inclusive.

Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination).

Having given written informed consent prior to undertaking any study-related procedure.

Not under any administrative or legal supervision or under institutionalization due to regulatory or juridical order.

Exclusion Criteria

Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteo-muscular, articular, psychiatric, systemic, ocular, gynecologic (if female), or infectious disease, or signs of acute illness.

Personal medical history of seizure.

Frequent headaches and/or migraine, recurrent nausea and/or vomiting (for vomiting only: more than twice a month).

Any medication (including St John's Wort) within 14 days before inclusion or within 5 times the elimination half-life or pharmacodynamic half-life of the medication, with the exception of hormonal contraception or menopausal hormone replacement therapy; any vaccination within the last 28 days and any biologics (antibody or its derivatives) given within 4 months before inclusion.

Positive result for hepatitis B, C or HIV

Positive result on urine drug screen

Positive alcohol test.

Any consumption of citrus fruits or their juices within 5 days before inclusion.

Current psychiatric disorder, suicidal ideation in the previous 6 months (as assessed by the C-SSRS), or a lifetime suicide attempt.

Additional exclusion criteria applied, and specially for Part 1b, criteria related to the study procedure of lumbar puncture.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
SAR443820SAR443820Single dose oral ascending dose (parts 1a and 1b) and multiple ascending oral dose (part 2) of SAR443820
PlaceboPlaceboSingle dose oral ascending dose (part 1a) and multiple ascending oral dose (part 2) of matching placebo
Primary Outcome Measures
NameTimeMethod
Part 2: Number of participants with adverse eventsDay1 up to Day 21 (end of study visit)
Parts 1a and 1b: Number of participants with adverse eventsDay1 up to Day 7 (end of study visit)
Secondary Outcome Measures
NameTimeMethod
Parts 1a and 1b: Assessment of pharmacokinetic parameter of SAR443820: Cmax in plasmaDay1

Parts 1a and 1b: Maximum plasma concentration

Parts 1a and 1b: Assessment of pharmacokinetic parameter of SAR443820: tmax in plasmaDay 1

Parts 1a and 1b: time to reach Cmax

Parts 1a and 1b : Assessment of pharmacokinetic parameter of SAR443820: AUC in plasmaDay1

Parts 1a and 1b: Area under the plasma concentration versus time

Parts 1a and 1b : Assessment of pharmacokinetic parameter of SAR443820: t1/2z in plasmaDay1

Terminal half-life in plasma

Part1b: SAR443820 concentrations in cerebrospinal fluid (CSF) samplesDay1

Part 1b: CSF to plasma concentration ratio

Part 2: Assessment of pharmacokinetic parameter of SAR443820: Cmax in plasmaDay1 and Day14

Part 2: Maximum plasma concentration

Part 2: Assessment of pharmacokinetic parameter of SAR443820: tmax in plasmaDay1 and Day14

Part 2: Time to reach Cmax

Part 2: Assessment of pharmacokinetic parameter of SAR443820: AUC tau in plasmaDay1 and Day14

Part 2: Area under the plasma concentration versus time during a dosing interval

Part 2 Assessment of pharmacokinetic parameter of SAR443820: t1/2z in plasmaDay14

Terminal half-life in plasma

Part 2: Day14/Day1 of 4β-hydroxycholesterol ratio in plasmaDay1 and Day14

D14/D1 of 4β-hydroxycholesterol ratio

Trial Locations

Locations (1)

Prism Research-Site Number:8400001

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Saint Paul, Minnesota, United States

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