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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06067425
Registration number
NCT06067425
Ethics application status
Date submitted
20/09/2023
Date registered
4/10/2023
Titles & IDs
Public title
Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of SAR442501 in Pediatric Participants With Achondroplasia
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Scientific title
A Phase 2, Open-label, Multi-center, 2-stage Sequential Cohort, Dose Escalation Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Subcutaneous SAR442501 in Pediatric Participants With Achondroplasia
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Secondary ID [1]
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U1111-1280-5374
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Secondary ID [2]
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DRI16646
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Universal Trial Number (UTN)
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Trial acronym
upreACH-2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteochondrodysplasia
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - SAR442501
Experimental: Cohort 1 -
Experimental: Cohort 2 -
Experimental: Cohort 3 -
Treatment: Drugs: SAR442501
Solution for injection; Subcutaneous injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with adverse events (AE), serious adverse events (SAE), and adverse events of special interest (AESI) during the treatment-emergent period
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 52
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Secondary outcome [1]
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Change in annualized growth velocity (AGV) Zscore
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 26 and Week 52
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Secondary outcome [2]
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Change in AGV (cm/year)
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Assessment method [2]
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Timepoint [2]
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Baseline to Week 26 and Week 52
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Secondary outcome [3]
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Change in height Z score
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Assessment method [3]
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Timepoint [3]
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Baseline to Week 26 and Week 52
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Secondary outcome [4]
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Change in upper-to-lower body segment ratio
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Assessment method [4]
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Timepoint [4]
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Baseline to Week 26 and Week 52
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Secondary outcome [5]
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Change in upper to lower extremity ratio
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Assessment method [5]
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Timepoint [5]
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Baseline to Week 26 and Week 52
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Secondary outcome [6]
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Change in sitting to standing height ratio (crown-to-rump length to total length for infants)
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Assessment method [6]
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Timepoint [6]
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Baseline to Week 26 and Week 52
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Secondary outcome [7]
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Change in arm span to height ratio
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Assessment method [7]
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Timepoint [7]
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Baseline to Week 26 and Week 52
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Secondary outcome [8]
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Change in upper arm to forearm length ratio
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Assessment method [8]
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Timepoint [8]
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Baseline to Week 26 and Week 52
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Secondary outcome [9]
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Change in upper leg to lower leg ratio
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Assessment method [9]
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Timepoint [9]
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Baseline to Week 26 and Week 52
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Secondary outcome [10]
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Change in head circumference to height ratio
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Assessment method [10]
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Timepoint [10]
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Baseline to Week 26 and Week 52
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Secondary outcome [11]
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Change in brainstem parameter
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Assessment method [11]
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Change in surface area of the bony foramen magnum (cm2) as measured by head and neck Magnetic Resonance Imaging (MRI).
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Timepoint [11]
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Baseline to Week 52
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Secondary outcome [12]
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Change in skull parameter
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Assessment method [12]
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Change in dimensions of skull base parameters, and degree of synchondroses fusion as measured by head and neck MRI.
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Timepoint [12]
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Baseline to Week 52
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Secondary outcome [13]
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Change in spine morphometric parameter
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Assessment method [13]
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Change in grading of cord compression and cord constriction as assessed by head and neck MRI.
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Timepoint [13]
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Baseline to Week 52
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Secondary outcome [14]
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Change in volumetric parameter
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Assessment method [14]
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Change in brainstem and spinal cord volume as measured by head and neck MRI.
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Timepoint [14]
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Baseline to Week 52
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Secondary outcome [15]
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Change in overall health-related quality of life score in the PedsQL Inventory Generic Core Scale
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Assessment method [15]
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PedsQL Generic Core Scales, global score ranging from 0-100, with higher scores representing better outcomes
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Timepoint [15]
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Baseline to Week 26 and Week 52
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Secondary outcome [16]
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Change in fatigue score in the PedsQL Multidimensional Fatigue Scale
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Assessment method [16]
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PedsQL Multidimensional Fatigue Scale, global score ranging from 0-100, with higher scores representing better outcomes
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Timepoint [16]
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Baseline to Week 26 and Week 52
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Secondary outcome [17]
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Change in present pain and worst pain rating (PPQ) score
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Assessment method [17]
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Pediatric Pain Questionnaire (PPQ) score value between 0-4. The lower the better.
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Timepoint [17]
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Baseline to Week 26 and Week 52
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Secondary outcome [18]
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Change in mobility and symptom rating (STEMS) score
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Assessment method [18]
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Screening Tool for Everyday Mobility and Symptoms (STEMS) score value between 1-5. The lower the better.
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Timepoint [18]
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Baseline to Week 26 and Week 52
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Secondary outcome [19]
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Change in developmental score in the Achondroplasia Developmental Recording Form
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Assessment method [19]
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Achondroplasia Developmental Recording Form to record the age at which participants achieve developmental milestones. The earlier the better.
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Timepoint [19]
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Baseline to Week 52
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Secondary outcome [20]
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Assessment of pharmacokinetic (PK) parameter: plasma concentration of SAR442501
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Assessment method [20]
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Timepoint [20]
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Baseline to Week 26 and 52
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Secondary outcome [21]
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Assessment of PK parameter: maximum plasma concentration observed (Cmax)
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Assessment method [21]
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Timepoint [21]
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Baseline to Week 26 and 52
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Secondary outcome [22]
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Assessment of PK parameter: time to reach Cmax (Tmax)
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Assessment method [22]
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Timepoint [22]
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Baseline to Week 26 and 52
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Secondary outcome [23]
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Assessment of PK parameter: Area under the plasma concentration versus time curve calculated using the trapezoidal method during a dose interval (AUC0-t)
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Assessment method [23]
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Timepoint [23]
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Baseline to Week 26 and 52
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Secondary outcome [24]
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Assessment of PK parameter: concentration observed before treatment administration during repeated dosing (Ctrough)
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Assessment method [24]
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Timepoint [24]
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Baseline to Week 26 and 52
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Secondary outcome [25]
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Assessment of pharmacodynamics (PD) parameter: change in collagen X biomarker (CXM) levels
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Assessment method [25]
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Timepoint [25]
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Baseline to Week 26 and Week 52
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Secondary outcome [26]
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Assessment of PD parameter: change in osteocalcin levels
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Assessment method [26]
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Timepoint [26]
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Baseline to Week 26 and Week 52
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Secondary outcome [27]
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Assessment of PD parameter: change in bone-specific alkaline phosphatase
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Assessment method [27]
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Timepoint [27]
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Baseline to Week 26 and Week 52
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Secondary outcome [28]
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Assessment of PD parameter: change in procollagen type 1 N-terminal propeptide (P1NP) levels
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Assessment method [28]
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Timepoint [28]
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Baseline to Week 26 and Week 52
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Secondary outcome [29]
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Assessment of PD parameter: change in collagen-type 1 C-Telopeptide (CTX) levels
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Assessment method [29]
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Timepoint [29]
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Baseline to Week 26 and Week 52
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Secondary outcome [30]
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Number of participants with treatment-emergent anti-drug antibodies (ADA)
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Assessment method [30]
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Timepoint [30]
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Baseline to Week 26 and Week 52
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Secondary outcome [31]
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Changes in neurological examination
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Assessment method [31]
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Percentage of participants with changes (i.e. abnormal to normal or normal to abnormal) in neurological examination findings
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Timepoint [31]
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Baseline through Week 26 and Week 52
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Eligibility
Key inclusion criteria
* Participants must have ACH with a confirmed mutation in the FGFR3 gene
* Participants and/or parent(s) or legal representative(s) must be willing and able to perform all the study procedures to the best of their physical ability.
* Parent(s) or legal representative(s) capable of giving signed informed consent and participants capable of giving assent when applicable.
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Minimum age
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Days
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Maximum age
12
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Have hypochondroplasia (or the N540K mutation) or short stature condition other than ACH (eg, trisomy 21, pseudochondroplasia)
* Participants have received any dose of medications or investigational product, including human growth hormone, IGF-1, intended to affect participants' stature or body proportions between the completion of OBS16647 and enrollment (Week 0/Day 1/Visit 2).
* Have a history of growth plate closure.
* Long bone fracture within 3 months of enrollment (Week 0/Day 1/Visit 2)
* Current evidence of corneal or retinal disorder/keratopathy.
* Participants have had a previous surgical intervention involving the foramen magnum (Stage 2 only).
* Hyperphosphatemia.
The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
10/10/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
2/12/2027
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Investigational Site Number : 0360001 - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Shanghai
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Country [2]
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China
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State/province [2]
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Wuhan
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Country [3]
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Italy
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State/province [3]
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Roma
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Country [4]
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Korea, Republic of
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State/province [4]
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Seoul-teukbyeolsi
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Country [5]
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Spain
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State/province [5]
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Catalunya [Cataluña]
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Country [6]
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Spain
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State/province [6]
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Pais Vasco
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 2, open-label, multicenter, study to evaluate safety, tolerability and efficacy of SAR442501 in children from birth up to 12 years of age with Achondroplasia.
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Trial website
https://clinicaltrials.gov/study/NCT06067425
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Clinical Sciences & Operations
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Address
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Sanofi
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Trial Transparency email recommended (Toll free for US & Canada)
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Address
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Country
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Phone
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800-633-1610
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06067425