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Neoplasm MalignantPhase 1NCT03324113

Evaluation of SAR408701 in Japanese Patients With Advanced Malignant Solid Tumors

A Phase 1 study testing SAR408701, dexamethasone and naphazoline in people with Neoplasm Malignant, run by Sanofi at 3 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Primary Objective: To evaluate tolerability and safety of SAR408701 when administered as a single agent according to the investigational medicinal product (IMP) related dose limiting toxicities (DLTs) to determine the recommended dose (RD) of SAR408701 in Japanese patients with advanced malignant solid tumors. Read more about this study

Who is it for?
Ages 20 years and olderHealthy volunteers can take part
Conditions the study is for
Neoplasm Malignant
What is being tested?
SAR408701, dexamethasone and naphazoline
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
3 sitesJapan
Study dates
17 Oct 2017to 26 Dec 2022
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Locally advanced or metastatic solid malignant tumor disease for which, in the judgement of the investigator, no standard alternative therapy is available.
  • At least 6 x 5 μm slides from formalin-fixed paraffin-embedded (FFPE) archival tissue should be available for retrospective central evaluation of CEACAM5 expression.
  • Patient understands and has signed the Written Informed Consent form and is willing and able to comply with the requirements of the trial.

Who cannot join

  • Patient less than 20 years old.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≥2.
  • Life expectancy <12 weeks.
  • Known or symptomatic brain metastasis (other than totally resected or previously irradiated and non-progressive/relapsing) or lepto-meningeal carcinomatosis.
  • Female patients of childbearing potential and male patients with female partners of childbearing potential who do not agree to use accepted and effective method of contraception during the study treatment period and for 6 months following discontinuation of IMP.
  • Significant concomitant illnesses, including all severe medical conditions which, in the opinion of the Investigator or Sponsor, would impair the patient's participation in the study or interpretation of the results.
Show all 12Show fewer
  • Prior therapy targeting CEACAM5.
  • Prior maytansinoid treatments (maytansinoid derivative 1 [DM1] or maytansinoid derivative 4 [DM4] antibody drug conjugates).
  • Previous history and or unresolved corneal disorders.
  • Medical conditions requiring concomitant administration of medications with narrow therapeutic window, metabolized by cytochrome P450 (CYP) and for which a dose reduction cannot be considered.
  • Medical conditions requiring concomitant administration of strong CYP3A inhibitor, unless it can be discontinued at least 2 weeks before first administration of SAR408701.
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

3 sites in 1 country.

Japan3 sites
  • Investigational Site Number : 3920003

    Kashiwa-shi, Chiba, 277-8577

  • Investigational Site Number : 3920002

    Nagoya, Aichi-ken, 464-8681

  • Investigational Site Number : 3920001

    Sunto-gun, Shizuoka, 411-8777

Other trials in Japan

About this study

Official title: A Phase I Study to Evaluate Safety and Pharmacokinetics of SAR408701 Administered Intravenously as Monotherapy in Japanese Patients With Advanced Malignant Solid Tumors

Primary Objective:

  • To evaluate tolerability and safety of SAR408701 when administered as a single agent according to the investigational medicinal product (IMP) related dose limiting toxicities (DLTs) to determine the recommended dose (RD) of SAR408701 in Japanese patients with advanced malignant solid tumors.
Read more

Secondary Objectives:

  • To characterize the overall safety profile of SAR408701 monotherapy.
  • To characterize the pharmacokinetic (PK) profile of SAR408701 and its metabolites.
  • To evaluate the pharmacodynamic (PDy) effect of SAR408701 on levels of circulating carcinoembryonic antigen-related cell adhesion molecule 5 (CEACAM5) for main dose escalation part.
  • To assess preliminary efficacy according to Response Evaluation Criteria in Solid Tumor (RECIST) 1.1 criteria and other indicators of antitumor activity.
  • To assess the potential immunogenicity of SAR408701.
Read the detailed description

The study duration per participant will include a period to assess eligibility (screening period) of up to approximately 4 weeks (28 days), a treatment period and an End-of-Treatment (EOT) visit around 30 days after the last administration of IMP, and at least one follow-up (FU) visit after the EOT visit.

Being tested
SAR408701, dexamethasone, naphazoline, diphenhydramine
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SAR408701Drug

    Also called Tusamitamab ravtansine

    Pharmaceutical form: solution for infusion

    Route of administration: intravenous

  • dexamethasoneDrug

    Also called Santeson ophthalmic solution

    Pharmaceutical form: solution for eye drop

    Route of administration: eye drop

  • naphazolineDrug

    Also called Clearine

    Pharmaceutical form: solution for eye drop

    Route of administration: eye drop

  • diphenhydramineDrug

    Also called Restamin Kowa

    Pharmaceutical form: tablet

    Route of administration: oral

Study groups in NCT03324113
Study groupRoleWhat they receive
SAR408701 MonotherapyExperimentalSAR408701 Dose escalation administered as a single agent intravenously, on Day 1 and once every two weeks, to patients with malignant solid tumors
Receives: Drug: SAR408701; Drug: dexamethasone; Drug: naphazoline; Drug: diphenhydramine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. IMP-related dose limiting toxicities (DLT)

    IMP-related DLTs are defined as adverse events (AE) related to the IMPs in absence of clear evidence to the contrary, after validation by the Study Committee, and if not related to a disease progression, graded using National Cancer Institute common Toxicity Criteria (NCI-CTC) scale v4.03

    Measured: 4 weeks, Dose escalation q3w part: 3 weeks

Secondary outcomes (10)
  1. Treatment emergent adverse events

    Overall safety profile characterized in terms of the type, frequency, severity, seriousness, and relationship to study therapy of any AEs based on standard and systematic assessment including physical findings, laboratory tests or other investigations

    Measured: Up to an average of 9 months

  2. Maximum observed concentration (Cmax) of SAR408701

    Cmax for SAR408701 will be assessed after single and repeat doses, as relevant

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  3. Cmax of DM4 and Me-DM4

    Cmax for DM4 and Me-DM4 will be assessed after single and repeat doses, as relevant

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  4. Time to reach maximum concentration (Tmax) of SAR408701

    Tmax for SAR408701 will be assessed after single and repeat doses, as relevant

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  5. Tmax of DM4 and Me-DM4

    Tmax for DM4 and Me-DM4 will be assessed after single and repeat doses, as relevant

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  6. Area under the concentration-time curve (AUC) of SAR408701

    AUC of SAR408701 from time zero extrapolated to infinity

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  7. AUC of DM4 and Me-DM4

    AUC of DM4 and Me-DM4 from time zero extrapolated to infinity

    Measured: Main dose-escalation part: Cycle 1 and Cycle 4 (each cycle is 14 days); Dose-escalation bis part with loading dose: Cycle 1 (Cycle 1 is 14 days), Dose-escalation q3w part: Cycle 1 and Cycle2 day 1 (Cycle 1 is 21 days)

  8. Assessment of PDy effect

    Assessment of plasma CEACAM5 levels in main dose-escalation part

    Measured: Up to an average of 10 months

  9. Assessment of anti-tumor activity

    Assessment of tumor response using standard imaging, as defined by RECIST 1.1 criteria

    Measured: Up to an average of 10 months

  10. Detection of anti-SAR408701 antibody

    Immunogenicity evaluation for anti-SAR408701 antibodies

    Measured: Up to an average of 10 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2017
  2. Study start17 Oct 2017
  3. Primary completion18 Nov 2022
  4. Study completion26 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03324113
Sponsor's protocol ID
TCD15054
Other IDs
U1111-1191-5464, TCD15054
Status last verified
Jul 2025
First submitted
6 Oct 2017
Last updated
5 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: 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

Publications

  • Muro K, Yamazaki K, Kadowaki S, Mishima S, Kawakami T, Tanaka T, Tada K, Fagniez N, Ohshima S, Yoshino T. Phase 1 study evaluating safety and pharmacokinetics of tusamitamab ravtansine monotherapy in Japanese patients with advanced malignant solid tumors. Int J Clin Oncol. 2025 Aug;30(8):1522-1536. doi: 10.1007/s10147-025-02784-4. Epub 2025 May 25.

    PubMed 40413667

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SAR408701, dexamethasone and naphazoline in people with Neoplasm Malignant, run by Sanofi at 3 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

IMP-related dose limiting toxicities (DLT) (time frame: 4 weeks, Dose escalation q3w part: 3 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03324113, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2025.

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