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Clinical Trials/NCT07272629
NCT07272629CompletedPhase 1

A Phase 1, Multicenter, Randomized, Double-blind, Double-dummy, Placebo- and Positive-controlled, 4-period Crossover Study to Evaluate the Effect of a Single Dose of Balinatunfib on Cardiac Repolarization in Healthy Adult Participants.

Sanofi2 sites in 1 country48 target enrollmentStarted: December 4, 2025Last updated:
Interventions

Trial Snapshot

Phase
Phase 1
Status
Completed
Sponsor
Sanofi
Enrollment
48
Locations
2
Primary Endpoint
Change from baseline in the QT interval corrected using the Fridericia formula (QTcF) centrally assessed using a semi-automatic reading

Study Overview

Brief Summary

This is a Phase 1, multicenter, randomized, double-blind, double-dummy, single dose, placebo- and positive-controlled, 4-sequence, 4-treatment, 4-period crossover study.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Crossover
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Eligibility Criteria

Ages
18 Years to 55 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Age: Healthy males and/or females aged 18 to 55 (inclusive) at consent signing.
  • Certified healthy based on history, physical exam, vitals, ECG, and labs with no abnormalities.
  • Weight: 50-100 kg (male), 40-90 kg (female); BMI 18-30 kg/m² inclusive.
  • Sex-based eligibility: All males must use effective contraception or remain abstinent and avoid sperm donation for 3 months post-dose. Females must use highly effective contraception, not be pregnant or breastfeeding, and test negative for pregnancy before treatment.

Exclusion Criteria

  • History of significant systemic diseases (hematologic, renal, endocrine, pulmonary, GI, cardiac, hepatic, psychiatric, neurologic, infectious, allergic; except mild seasonal allergies).
  • Clinically significant ECG abnormalities.
  • Frequent headaches or migraines, and recurrent nausea or vomiting (over twice monthly).
  • Blood donation within 2 months.
  • Symptomatic or significant postural hypotension.
  • Drug hypersensitivity or significant allergies, including to study drugs.
  • History of drug/alcohol abuse.
  • Tobacco use within 3 months prior to Day
  • History of Hepatitis B/C, TB, or invasive opportunistic infections.
  • Malignancy within 5 years (except treated non-metastatic skin cancer).
  • Adverse reaction to balinatunfib, moxifloxacin, or quinolones.
  • Any medication (except hormonal contraception/HRT) within 14 days or 5× half-life.
  • Biologics within 4 months prior.
  • Vaccines: non-live within 4 weeks, live within 3 months before or during study.
  • Current or recent participation in another interventional study within 30 days.
  • Positive for HBsAg, anti-HBc, anti-HCV, anti-HIV1/
  • Positive urine drug screen.
  • Positive alcohol breath test.
  • Positive urine cotinine test.
  • History of long QT syndrome.
  • Risk factors for TdP.
  • Moxifloxacin contraindications.
  • Low potassium (<3.5 mmol/L).
  • Low magnesium (<0.7 mmol/L).
  • The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Arms & Interventions

Moxifloxacin Treatment C

Active Comparator

Participants will receive a single oral dose of moxifloxacin.

Intervention: Placebo (Drug)

Moxifloxacin Treatment C

Active Comparator

Participants will receive a single oral dose of moxifloxacin.

Intervention: Moxifloxacin (Drug)

Placebo Treatment D

Placebo Comparator

Participants will receive a single oral dose of balinatunfib matching placebo and moxifloxacin matching placebo.

Intervention: Placebo (Drug)

Balinatunfib Treatment A

Experimental

Participants will receive a single oral dose of balinatunfib.

Intervention: Placebo (Drug)

Balinatunfib Treatment B

Experimental

Participants will receive a single oral dose of balinatunfib.

Intervention: Placebo (Drug)

Balinatunfib Treatment A

Experimental

Participants will receive a single oral dose of balinatunfib.

Intervention: Balinatunfib (Drug)

Balinatunfib Treatment B

Experimental

Participants will receive a single oral dose of balinatunfib.

Intervention: Balinatunfib (Drug)

Outcomes

Primary Outcomes

Change from baseline in the QT interval corrected using the Fridericia formula (QTcF) centrally assessed using a semi-automatic reading

Time Frame: Baseline to day 2

Secondary Outcomes

  • Change from baseline in QT interval corrected using the Bazett formula (QTcB)(Baseline to day 2 of each period)
  • Change from baseline in population specific QT correction (QTcN) interval(Baseline to day 2 of each period)
  • Change from baseline in QRS interval(Baseline to day 2 of each period)
  • Change from baseline in PR interval(Baseline to day 2 of each period)
  • Safety for electrocardiogram (ECG) parameters(Baseline to day 83)
  • Change from baseline in heart rate (HR)(Day 1 to Day 2)
  • Change from baseline in QT interval(Baseline to day 2 of each period)
  • Maximum plasma concentration (Cmax) for balinatunfib(Baseline to day 6 of each period)
  • Time to reach the maximum concentration (tmax) for balinatunfib(Baseline to day 6 of each period)
  • Area under the curve (AUC) for balinatunfib(Baseline to day 6 of each period)
  • Maximum plasma concentration (Cmax) for balinatunfib metabolite M8(Baseline to day 6 of each period)
  • Time to reach the maximum concentration (tmax) for balinatunfib metabolite M8(Baseline to day 6 of each period)
  • Area under the curve (AUC) for balinatunfib metabolite M8(Baseline to day 6 of each period)
  • Number of participants experiencing treatment-emergent adverse events (TEAEs) including adverse events of special interest (AESIs) and serious adverse events (SAEs)(Baseline to Day 83)
  • Number of participants with clinical laboratory and vital signs abnormalities (potentially clinically significant abnormality)(Baseline to Day 83)

Investigators

Sponsor
Sanofi
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (2)

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