AzTrials
AzTrials

Neoplasm MalignantPhase 1NCT02187848

Evaluation of SAR408701 in Patients With Advanced Solid Tumors

A Phase 1 study testing SAR408701 in people with Neoplasm Malignant, run by Sanofi at 20 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Primary Objectives: To determine the maximum tolerated dose (MTD) of SAR408701 administered as monotherapy, once every 2 weeks (with and without a loading dose at Cycle 1) to patients with advanced solid tumors (Main Escalation and Loading Dose Escalation Q2W). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Neoplasm Malignant
What is being tested?
SAR408701
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
254 participants
Where
20 sitesin 5 countries
Study dates
23 Jul 2014to 19 Nov 2024
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Locally advanced or metastatic solid malignant tumor disease for which no standard alternative therapy is available.
  • Availability of archived tumor tissue for carcinoembryonic antigen-related cell adhesion molecule 5 (CEACAM5 or CEA) testing.
  • For participants in the Dose Escalation Cohorts (Main Escalation and Loading Dose Cohorts at every 2 week cycle and Dose Escalation every 3 week cycle): patients with tumors expressing or likely to be expressing CEACAM5 which includes colorectal cancer (CRC), non-squamous non-small cell lung cancer (NSCLC), gastric adenocarcinoma, squamous cell carcinoma of the cervix, pancreas adenocarcinoma, bladder transitional cell carcinoma, cholangiocarcinoma, epithelial ovarian cancer and endometrial adenocarcinoma are favored, or if carcinoembryonic antigen (CEA) plasma levels >5 ng/mL.
  • For participants to the Expansion Phase cohorts: patients with CRC or with CEACAM5 positive non-squamous NSCLC, small cell lung cancer (SCLC) or gastric carcinoma (including esophago-gastric junction adenocarcinoma of the Siewert types II and III).
  • At least one measurable lesion by RECIST v1.1 in the Expansion Phase only.
  • At least one lesion amenable to biopsy (Expansion cohort - CRC and gastric cancer only). Patient must consent to a baseline biopsy for retrospective confirmation of tumor CEACAM5 expression, except if NSCLC or SCLC without lesion amenable to biopsy.
  • Signed informed consent.

Who cannot join

  • Aged less than 18 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status more than 1.
  • New or progressing brain involvement.
  • Concurrent treatment with any other anticancer therapy or inadequate wash-out period for prior anticancer therapies before first administration of SAR408701, or non-resolution of toxicities induced by these anticancer therapies.
  • Female or male patients with reproductive potential who do not agree to use an accepted effective method of contraception during the study treatment period and for at least 3 months following completion of study treatment.
  • Pregnancy or breast-feeding.
Show all 21Show fewer
  • Participation to any clinical research study evaluating another investigational drug or therapy within 3 weeks of initiation of study regimen.
  • Prior therapy targeting CEACAM5.
  • Prior maytansinoid treatments (DM1 or DM4 antibody drug conjugates).
  • Poor bone marrow reserve resulting in low blood cell counts.
  • Poor kidney and liver functions.
  • Any of the following within 6 months prior to study enrolment: infectious or inflammatory bowel disease, diverticulitis, gastrointestinal perforation, intestinal obstruction, and gastrointestinal hemorrhage. Patients with malabsorption syndrome are excluded.
  • Previous history and or unresolved corneal disorders. The use of contact lenses is not permitted.
  • Unresolved signs and symptoms of neuropathy; Grade 1 is acceptable if prior neurotoxic drugs such as cisplatin or taxanes.
  • Abnormal cardiac function defined by a left ventricular ejection fraction (LVEF) of <50%.
  • Cardiac conduction defects, or any other clinically significant arrhythmias.
  • Known intolerance to infused protein products.
  • Medical conditions requiring concomitant administration of medications with narrow therapeutic window, metabolized by cytochrome P450 (CYPs) enzymes 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 1st administration of SAR408701.
  • Contraindications to the use of ophthalmic vasoconstrictor and/or corticosteroid as per package insert of each drug, including the following: increase intraocular pressure, prior or current glaucoma, narrow-angle glaucoma, ongoing eye infection, uncontrolled hypertension, known/suspected allergy to constituents of the preparation (such as sodium bisulfite).
  • 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

20 sites in 5 countries.

20 sites in 5 countries

France7 sites
  • Investigational Site Number : 250003

    Bordeaux, 33076

  • Investigational Site Number : 250006

    Dijon, 21079

  • Investigational Site Number : 250004

    Marseille, 13385

  • Investigational Site Number : 250007

    Rennes, 35000

  • Investigational Site Number : 250005

    Saint-Mandé, 94163

  • Investigational Site Number : 250002

    Toulouse, 31059

  • Investigational Site Number : 250001

    Villejuif, 94800

Other trials in France

South Korea5 sites
  • Investigational Site Number : 410002

    Seoul, Seoul-teukbyeolsi, 03080

  • Investigational Site Number : 410005

    Seoul, Seoul-teukbyeolsi, 03722

  • Investigational Site Number : 410003

    Seoul, Seoul-teukbyeolsi, 06351

  • Investigational Site Number : 410004

    Seoul, Seoul-teukbyeolsi, 07061

  • Investigational Site Number : 410001

    Seoul, Seoul-teukbyeolsi, 138-736

Other trials in South Korea

Spain5 sites
  • Investigational Site Number : 724001

    Barcelona, Barcelona [Barcelona], 08035

  • Investigational Site Number : 724003

    Madrid, Madrid, Comunidad de, 28050

  • Investigational Site Number : 724006

    Madrid, 28041

  • Investigational Site Number : 724004

    Madrid / Madrid, Madrid, Comunidad de, 28040

  • Investigational Site Number : 724002

    Majadahonda, Madrid, 28222

Other trials in Spain

United States2 sites
  • Dana Farber Cancer Institute- Site Number : 840005

    Boston, Massachusetts, 02115

  • Yale University School of Medicine Site Number : 840002

    New Haven, Connecticut, 06520-8017

Other trials in United States

Canada1 site
  • Investigational Site Number : 124001

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: A First-in-Human Study for the Evaluation of the Safety, Pharmacokinetics and Antitumor Activity of SAR408701 in Patients With Advanced Solid Tumors

Primary Objectives:

  • To determine the maximum tolerated dose (MTD) of SAR408701 administered as monotherapy, once every 2 weeks (with and without a loading dose at Cycle 1) to patients with advanced solid tumors (Main Escalation and Loading Dose Escalation Q2W).
  • To determine the maximum tolerated dose (MTD) of SAR408701 administered as monotherapy, once every 3 weeks to patients with advanced solid tumors (Escalation Q3W Cycle).
  • To assess efficacy according to Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) (Expansion Phase) when SAR408701 is administered once every 2 weeks with or without a loading dose at Cycle 1.
Read more

Secondary Objectives:

  • To characterize the overall safety profile of SAR408701.
  • To characterize the pharmacokinetic (PK) profile of SAR408701 and of its potential circulating derivatives.
  • To identify the recommended phase 2 dose (RP2D) of SAR408701.
  • To assess the potential immunogenicity of SAR408701.
Read the detailed description

The study duration for an individual patient will start from the signature of the informed consent, 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 visit around 30 days following the last administration of study drug, and at least one follow-up visit after the end-of-treatment visit. Additional follow-up visits may be required until resolution or stabilization of adverse events (at least 30 days). Treatment may continue until precluded by toxicity, progression, or upon patient's request. If the patient stops study treatment for reason other than disease progression, follow-up visit will be performed every 3 months until disease progression or initiation of another anti-tumor treatment or death, whichever comes first.

Being tested
SAR408701
Medical subject headings
Neoplasms

What participants receive

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

  • SAR408701Drug

    Pharmaceutical form: concentrate for solution for infusion Route of administration: intravenous

Study groups in NCT02187848
Study groupRoleWhat they receive
SAR408701 Main Dose Escalation CohortExperimentalDose escalation administered intravenously, once every two weeks
Receives: Drug: SAR408701
SAR408701 Expansion Cohort colorectal cancer (CRC)ExperimentalAdministered intravenously at the maximum tolerated dose (MTD), once every 2 weeks, to patients with colorectal cancer
Receives: Drug: SAR408701
SAR408701 Expansion Cohort non-squamous NSCLCExperimentalAdministered intravenously at the MTD, once every 2 weeks, to patients with carcinoembryonic antigen-related cell adhesion molecule 5 (CEACAM5) expressing non-squamous non-small cell lung cancer (NSCLC) of at least 50% of tumor cells at or above 2+ intensity
Receives: Drug: SAR408701
SAR408701 Expansion Cohort gastric adenocarcinomaExperimentalAdministered intravenously at the MTD, once every 2 weeks, to patients with CEACAM5 expressing gastric adenocarcinoma
Receives: Drug: SAR408701
SAR408701 Loading Dose Escalation cohorts (Escalation bis)ExperimentalLoading dose escalation administered intravenously at first cycle, followed by MTD, once every 2 weeks
Receives: Drug: SAR408701
SAR408701 Expansion Cohort non-squamous NSCLC (Lung bis)ExperimentalAdministered intravenously at the MTD, once every 2 weeks, to patients with CEACAM5 expressing non-squamous NSCLC of at least 1% but below 50% of tumor cells at or above 2+ intensity
Receives: Drug: SAR408701
SAR408701 Expansion Cohort colorectal cancer (CRC-L)ExperimentalLoading dose of determined MTD-L administered intravenously at first cycle, followed by MTD, once every 2 weeks
Receives: Drug: SAR408701
SAR408701 Expansion Cohort small cell lung cancer (SCLC)ExperimentalAdministered intravenously at the MTD, once every 2 weeks, to patients with CEACAM5 expressing SCLC
Receives: Drug: SAR408701
SAR408701 Dose Escalation every 3 weeks cohortExperimentalDose escalation administered intravenously, once every three weeks
Receives: Drug: SAR408701

What is being measured

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

  1. Number of dose limiting adverse events (every 2 week cycle)

    Measured: 4 weeks

  2. Assessment of overall response rate using standard imaging and RECIST 1.1 criteria

    Measured: Up to 40 months

  3. Number of dose limiting adverse events (every 3 week cycle)

    Measured: 3 weeks

Secondary outcomes (11)
  1. Number of treatment emergent adverse events

    Measured: Up to 4 years

  2. Maximum concentration (Cmax)

    Measured: 2 months

  3. Time to reach maximum concentration (tmax)

    Measured: 2 months

  4. Trough plasma concentrations (Ctrough)

    Measured: Intensive testing within first 2 months, then every 2 weeks

  5. Area under the plasma concentration versus time curve between 0 and 14 days (AUC0-14day) for Q2W or between 0 and 21 days (AUC-21 day) for Q3W

    Measured: 2 months

  6. Mean systemic clearance (CL)

    Measured: 2 months

  7. Clearance at steady state (CLss)

    Measured: 2 months

  8. Accumulation ratio (Rac) on AUC0-14day and Cmax

    Measured: 2 months

  9. Detection of the development of anti-SAR408701 antibody

    Measured: Up to 40 months

  10. Duration of response

    Measured: Up to 40 months - assessment every 6-8 weeks

  11. Time to Progression

    Measured: Up to 40 months - assessment every 6-8 weeks

Timeline

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

  1. First posted11 Jul 2014 (estimated)
  2. Study start23 Jul 2014
  3. Primary completion10 Nov 2020
  4. Study completion19 Nov 2024

Why it stopped: Sponsor decision, The decision is not related to any safety concern.

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
254 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02187848
Sponsor's protocol ID
TED13751
Other IDs
U1111-1153-3461, 2014-001130-29, 2014
Status last verified
Feb 2025
First submitted
24 Jun 2014
Last updated
10 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
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

  • Gazzah A, Bedard PL, Hierro C, Kang YK, Abdul Razak A, Ryu MH, Demers B, Fagniez N, Henry C, Hospitel M, Soria JC, Tabernero J. Safety, pharmacokinetics, and antitumor activity of the anti-CEACAM5-DM4 antibody-drug conjugate tusamitamab ravtansine (SAR408701) in patients with advanced solid tumors: first-in-human dose-escalation study. Ann Oncol. 2022 Apr;33(4):416-425. doi: 10.1016/j.annonc.2021.12.012. Epub 2022 Jan 10.

    PubMed 35026412
  • Tabernero J, Bedard PL, Bang YJ, Vieito M, Ryu MH, Fagniez N, Chadjaa M, Soufflet C, Masson N, Gazzah A. Tusamitamab Ravtansine in Patients with Advanced Solid Tumors: Phase I Study of Safety, Pharmacokinetics, and Antitumor Activity Using Alternative Dosing Regimens. Cancer Res Commun. 2023 Aug 28;3(8):1662-1671. doi: 10.1158/2767-9764.CRC-23-0284. eCollection 2023 Aug.

    PubMed 37645622
  • Gazzah A, Ternes N, Lee JS, Wang E, Carene D, Wang H, Masson N, Boitier E, Lartigau A, Mace N, Chadjaa M, Dib C, Nunes M, Muzard G, Longuemaux-Valence S, Bauchet AL. Biomarker analysis from a Phase 1/1b study of tusamitamab ravtansine in patients with advanced non-small cell lung cancer. Transl Oncol. 2026 Jan;63:102615. doi: 10.1016/j.tranon.2025.102615. Epub 2025 Dec 3.

    PubMed 41337813

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SAR408701 in people with Neoplasm Malignant, run by Sanofi at 20 sites in 5 countries.

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 7 inclusion and 21 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: stopped early, as of the sponsor's last update on 10 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in France, South Korea, Spain, United States, Canada. 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 was stopped early (reason given: Sponsor decision, The decision is not related to any safety concern.). Results are not available in the source record.

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?

Number of dose limiting adverse events (every 2 week cycle) (time frame: 4 weeks). The study lists 3 primary outcomes in all. 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 NCT02187848, which also lists 3 linked publications.

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 10 Feb 2025; AzTrials last refreshed its copy on 6 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in