- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03462017
Pharmacodynamic Study to Assess the Effects of Repeated Dosing of SAR247799 on Endothelial Function in Patients With Type 2 Diabetes Mellitus
April 21, 2022 updated by: Sanofi
Study to Assess the Pharmacodynamic Effects of Repeated Oral Doses of SAR247799 on Endothelial Function in Male and Female Patients With Type 2 Diabetes Mellitus
Primary Objective:
To assess the pharmacodynamic effects of SAR247799 on macrovascular endothelial function of the brachial artery using flow-mediated dilation (FMD) in patients with type 2 diabetes mellitus (T2DM).
Secondary Objective:
- To assess the pharmacodynamic effects of SAR247799 on microvascular endothelial function using laser Doppler perfusion monitoring in patients with T2DM.
- To assess the safety profile of SAR247799 in patients with T2DM.
- To assess the plasma pharmacokinetic profile of SAR247799 in patients with T2DM.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Study duration per patient is approximately 10 weeks including a 4-week treatment period.
Study Type
Interventional
Enrollment (Actual)
54
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Mainz, Germany, 55116
- Investigational Site Number 2760002
-
Neuss, Germany, 41460
- Investigational Site Number 2760001
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 64 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion criteria :
- Male and female stable Type 2 diabetes mellitus (T2DM) patients.
- Body Mass Index between 18 and 35 kg/m^2.
- Stable T2DM patients, but otherwise healthy as assessed by a clinical and laboratory assessments and detailed medical history.
- Diagnosis of T2DM for at least 6 months at the time of the screening visit.
- Glycosylated hemoglobin (HbA1c) < 8.5%.
- estimated glomerular filtration rate ˃60 mL/min/1.73 m^2.
- Flow-mediated dilatation (FMD) ≤7% at screening.
- Treatment of T2DM with lifestyle interventions or stable oral antidiabetic treatment for at least 3 months prior to inclusion.
- No clinically significant abnormality detected in cardiac echography, as assessed by certified Cardiologist, performed at screening.
Exclusion criteria:
- Any history or presence of clinically relevant or symptomatic gastrointestinal, hepatic, metabolic (except stable T2DM and controlled dyslipidemia), hematological, osteomuscular, articular, psychiatric, systemic, gynecologic (if female), or infectious disease, or ongoing cancer (including basal cell skin carcinoma), or signs of acute illness which as judged by the Investigator, may affect the patient's participation in or the outcome of this study.
- Symptomatic postural hypotension, irrespective of the decrease in blood pressure, or asymptomatic postural hypotension defined as a decrease in systolic blood pressure ≥30 mmHg within 3 minutes when changing from 10 min supine to standing position, at screening.
- History of symptomatic bradycardia, fainting, collapse, syncope, or vasovagal reactions in the last 6 months.
- Presence or history of drug hypersensitivity and/or allergy to any ingredients of the investigational product and/or non-investigational product diagnosed and treated by a physician.
- Any subject who cannot be treated with sildenafil because of conditions mentioned in the contra-indication, warning and precautions sections of sildenafil product information notably subjects with anatomical deformity of the penis.
- Loss of vision due to non-arteritic, neuro-optic, anterior ischemia assessed in ophtalmologic examination at screening.
- If female, pregnancy (defined as positive β-human chorionic gonadotropin blood and urine test), breast-feeding.
- Generally any medication which has a potential to interfere with the safety, pharmacokinetics of SAR247799 and sildenafil, or with study measurements is not allowed, and in particular:
- Nitrates, all calcium channel blockers, phosphodiesterase type 5 inhibitors (except investigational medicinal product [IMP]), guanylate cyclase stimulators use or anticipated during the study;
- Beta-blockers;
- Glucagon-like peptide-1 agonists;
- Insulins (all types);
- Anticoagulants, antithrombotics except aspirin;
- Any drugs which decrease heart rate;
- Antiarrhythmics;
- Digoxin;
- Cholinergic agents eg pilocarpine or cholinesterase inhibitors eg neostigmine, guanidine;
- Recent (≤3 months) use of systemic immunosuppressive or corticosteroid therapy;
- Any inactivated vaccination (eg, seasonal influenza) during study treatment, any attenuated vaccination within 2 months before inclusion, and any biologics (antibody or its derivatives) given within 4 months before inclusion;
- Any consumption of citrus fruits (grapefruit, orange, etc) or their juices within 3 days before inclusion as weak inhibitor of CYP3A4 gut wall metabolism.
- Any severe dyslipidemia with fasting triglycerides > 450 mg/dL.
- Any hyperosmolar hyperglycemic episode with severe neurological symptoms (eg, coma, aphasia) in the last 3 months before screening.
- Weight change of ≥5 kg during the last 2 months prior to screening.
- History or presence of clinically relevant or symptomatic pulmonary disease, such as asthma, chronic obstructive pulmonary disease, pulmonary embolism, pulmonary fibrosis, pulmonary hypertension which as judged by the Investigator, may affect the patient's participation in or the outcome of this study.
- Cardiovascular history such as:
- History or presence of a clinically relevant or symptomatic cardiovascular disease such as acute coronary syndrome (ACS), stroke, transient ischemic accident (TIA), obstructive or congestive heart failure, or structural heart disease (e.g., valvular disease) which as judged by the Investigator, may affect the patient's participation in or the outcome of this study.
- History of elective percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within the past 6 months.
- History of clinically relevant or symptomatic cardiac arrhythmia such as sustained ventricular arrhythmia, non-fixed supra-ventricular arrhythmia which as judged by the Investigator, may affect the patient's participation in or the outcome of this study or which occurred within the past 6 months
- History of clinically relevant or symptomatic cardiac conduction abnormalities (any type of atrioventricular (AV) block, sick sinus syndrome, sinus node disease).
- Patients with a pacemaker or implantable cardioverter defibrillator.
- Known history of autoimmune disorders.
- Any severe viral, systemic, fungal, bacterial or protozoal infection within the past 6 months or chronic severe infection (hepatitis, HIV infection, tuberculosis).
- Presence of macular edema at fundus examination performed within 6 months before the first study drug administration.
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: SAR247799
SAR247799 repeated doses once daily in the morning under fasted condition for 28 days according to a sequential dose design
|
Pharmaceutical form:Capsule Route of administration: Oral
Pharmaceutical form:Solution Route of administration: Transdermal
|
Placebo Comparator: Placebo
Identical matching placebo for SAR247799 and for sildenafil once daily in the morning under fasted condition for 28 days
|
Pharmaceutical form:Solution Route of administration: Transdermal
Pharmaceutical form:Capsule Route of administration: Oral
|
Active Comparator: Sildenafil
Sildenafil once daily in the morning under fasted condition for 28 days
|
Pharmaceutical form:Solution Route of administration: Transdermal
Pharmaceutical form:Encapsulated tablet Route of administration: Oral
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Flow Mediated Dilation (FMD)
Time Frame: Baseline to Days 14, 21, 28, 35, and 42
|
Absolute change from baseline in the % FMD index of the brachial artery
|
Baseline to Days 14, 21, 28, 35, and 42
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Microvascular reactivity
Time Frame: Baseline to Days 14, 21, 28, 35, and 42
|
Change from baseline in peak flow induced by acetylcholine iontophoresis measured using Laser Doppler perfusion monitoring
|
Baseline to Days 14, 21, 28, 35, and 42
|
Number of adverse events
Time Frame: Up to Day 42
|
Number of participants with adverse events
|
Up to Day 42
|
Assessment of pharmacokinetic (PK) parameter: Cmax
Time Frame: Days 1, 2, 3, 7, and 14
|
Cmax: Maximum plasma concentration observed
|
Days 1, 2, 3, 7, and 14
|
Assessment of PK parameter: Ctrough
Time Frame: Days 1, 2, 3, 7, and 14
|
Ctrough: Plasma concentration observed just before treatment administration during repeated dosing
|
Days 1, 2, 3, 7, and 14
|
Assessment of PK parameter: tmax
Time Frame: Days 1, 2, 3, 7, and 14
|
tmax: Time to reach Cmax
|
Days 1, 2, 3, 7, and 14
|
Assessment of PK parameter: AUC0-24
Time Frame: Days 1, 2, 3, 7, and 14
|
AUC0-24: Area under the plasma concentration versus time curve over the dosing interval (24h)
|
Days 1, 2, 3, 7, and 14
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 7, 2018
Primary Completion (Actual)
December 22, 2018
Study Completion (Actual)
December 22, 2018
Study Registration Dates
First Submitted
March 6, 2018
First Submitted That Met QC Criteria
March 6, 2018
First Posted (Actual)
March 12, 2018
Study Record Updates
Last Update Posted (Actual)
April 25, 2022
Last Update Submitted That Met QC Criteria
April 21, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Glucose Metabolism Disorders
- Metabolic Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Endocrine System Diseases
- Coronary Disease
- Coronary Artery Disease
- Diabetes Mellitus
- Diabetes Mellitus, Type 2
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Cholinergic Agents
- Urological Agents
- Enzyme Inhibitors
- Cholinergic Agonists
- Phosphodiesterase Inhibitors
- Phosphodiesterase 5 Inhibitors
- Sildenafil Citrate
- Acetylcholine
Other Study ID Numbers
- PDY15286
- 2017-002592-26 (EudraCT Number)
- U1111-1197-8124 (Other Identifier: UTN)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Yes
IPD Plan Description
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
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Microvascular Coronary Artery Disease
-
Lisata Therapeutics, Inc.TerminatedCoronary Microvascular Disease | Coronary Microvascular Dysfunction | Microvascular Coronary Artery DiseaseUnited States
-
Istanbul UniversityCompletedIschemic Heart Disease | Coronary Microvascular Disease | Microvascular Angina | Coronary Microvascular Dysfunction | Non-Obstructive Coronary Atherosclerosis | Microvascular Coronary Artery DiseaseTurkey
-
Catharina Ziekenhuis EindhovenOnze Lieve Vrouwziekenhuis AalstRecruitingCoronary Vasospasm | Microvascular Angina | Microvascular Coronary Artery Disease | Microvascular ResistanceNetherlands
-
Parc de Salut MarActive, not recruitingChronic Total Occlusion of Coronary Artery | Coronary; Ischemic | Coronary Microvascular Dysfunction | Microvascular Coronary Artery DiseaseSpain
-
Queen Mary University of LondonEchopoint Medical LtdRecruitingCoronary Artery Disease | Coronary Microvascular Disease | Coronary StenosisUnited Kingdom
-
Cedars-Sinai Medical CenterNational Heart, Lung, and Blood Institute (NHLBI)RecruitingCoronary Artery Disease | Coronary Microvascular DiseaseUnited States
-
First People's Hospital of HangzhouRecruitingCoronary Artery Disease | Coronary Microvascular DiseaseChina
-
Université Libre de BruxellesTerminatedIschemic Heart Disease | Coronary Microvascular Disease | Microvascular DiseaseBelgium
-
Samsung Medical CenterSeoul St. Mary's Hospital; Chonnam National University Hospital; Seoul National... and other collaboratorsRecruitingCoronary Artery Disease | Ischemic Heart Disease | Coronary Microvascular DiseaseKorea, Republic of
-
Johannes Gutenberg University MainzNot yet recruitingMicrovascular Coronary Artery DiseaseGermany