Study of Lademirsen (SAR339375) in Patients With Alport Syndrome
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Efficacy, Pharmacodynamics, and Pharmacokinetics of Lademirsen (SAR339375) for Subcutaneous Injection Administered Every Week in Patients With Alport Syndrome
  • Phase

    Phase 2
  • Study Type

  • Status

  • Intervention/Treatment

    rg-012 ...
  • Study Participants

Primary Objectives:

To assess the efficacy of lademirsen (SAR339375) in reducing the decline in renal function
To assess the safety and tolerability of lademirsen (SAR339375) in subjects with Alport syndrome

Secondary Objectives:

To assess plasma pharmacokinetic (PK) parameters of the parent compound and its metabolites
To assess the potential formation of anti-drug antibodies (ADAs) following administration of lademirsen (SAR339375)
To assess the pharmacodynamic effect of lademirsen (SAR339375) on miR-21 and on changes in renal injury and function biomarkers.
The planned length of participation in the study for each subject is up to approximately 110 weeks (from screening through completion of follow-up). This includes:

Screening/baseline period of up to 4 weeks
Double-blind, placebo-controlled treatment period of 48 weeks
Open-label extension treatment period of 48 weeks ( all subject to enter a 48-week open label extension period and receive active treatment with lademirsen (SAR339375))
Post-treatment follow-up period of 10 weeks
Study Started
Nov 02
Primary Completion
Sep 22
Study Completion
Sep 22
Last Update
Oct 17

Drug lademirsen (SAR339375)

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous injection

Drug Placebo

Pharmaceutical form: Solution for injection Route of administration: Subcutaneous injection

lademirsen (SAR339375) Experimental

Eligible participants will receive subcutaneous injection every week for 48 weeks

Placebo Placebo Comparator

Eligible participants will receive subcutaneous injection every week for 48 weeks


Inclusion criteria :

Male or female

Confirmed diagnosis of Alport syndrome

Clinical diagnosis (hematuria, family history, hearing loss, ocular change), AND
Genetic confirmation of Alport Syndrome in the subject or the family member, OR
Kidney biopsy showing glomerular basement membrane abnormalities (eg, significant thinning, thickening, irregularity or lucencies) consistent with Alport Syndrome.
Age 18-55 years old
eGFR > 35 ml/min/1.73m^2 and <90 mL/min/1.73m^2 (based on CKD-EPI) at screening

Renal Function Criteria (patients must meet at least one of the following CRITERIA A, B or C):

A)Decline in eGFR of ≥4 mL/min/1.73 m^2/year (eGFR slope <= -4) based on a linear regression slope analysis of ≥4 eGFR measurements within 3 years prior to the study and with a minimum of 2-year time span (the last, of the screening measurement, and first eGFR measurements should be separated by at least 2 years). eGFR should be calculated by using either the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) creatinine equation.
B) proteinuria (UPCR) >2000 mg/g (UACR>1000 mg/g)
C) Age and sex adjusted eGFR (based on CKD-Epi; male 18-23 eGFR<90 mL/min/1.73m^2
ACE inhibitor and/or ARB, the dosing regimen should be stable for at least 30 days prior to screening
Sexually active female subjects of childbearing potential and sexually mature male subjects must agree to practice true abstinence in line with their preferred and usual lifestyle or to use two acceptable effective methods of contraception for the entire duration of the study and for at least 6 weeks after last dose.
Negative drug screen for opiates, cocaine, heroin, phencyclidine, amphetamines (including ecstasy), barbiturates, benzodiazepines, and cannabinoids. At the Investigator's discretion, subjects prescribed benzodiazepines, cannabinoids, or opiates with positive results on a drug screen may be allowed.
Negative screening results for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, and human immunodeficiency virus (HIV) antibody
Normal biological tests
Able to understand all study procedures in the informed consent form (ICF) and willing to comply with all aspects of the protocol

Exclusion criteria:

Causes of chronic kidney disease aside from Alport syndrome (including but not limited to other heritable disorders leading to chronic kidney disease, diabetic nephropathy, hypertensive nephropathy, lupus nephritis, IgA nephropathy)
ESRD as evidenced by ongoing dialysis therapy or history of renal transplantation
Any clinically significant illness within 30 days before screening or surgical or medical condition (other than Alport syndrome) that could interfere with the subject's study compliance; confound the study results; impact subject safety; or significantly alter the absorption, distribution, metabolism, or excretion of drugs.
Weight > 110 kg
Any history of active malignancy within the last 1 year (history of localized basal cell or squamous cell carcinoma and cervical carcinoma in situ that has been excised/appropriately treated or a fully excised malignant lesion with a low probability of recurrence will not be considered exclusionary)
Prior treatment with Bardoxolone within 90 days prior to screening
History or presence of alcoholism or drug abuse within 2 years before screening or other concurrent social conditions that would potentially interfere with the subject's study compliance, at the discretion of the Investigator
Participation in a recent investigational study and receipt of an investigational drug or investigational use of a licensed drug within 30 days or 5 half lives, whichever is longer, prior to screening
History or presence of hypersensitivity or idiosyncratic, allergic, or other clinically significant reaction to the study drug (including placebo), inactive ingredients, or related compounds (eg, other oligonucleotide products)
Any other condition or circumstance that, in the opinion of the Investigator, may make the subject unlikely to complete the study or comply with study procedures and requirements, or may pose a risk to the subject's safety and well-being

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