Primary Objectives: To assess in overweight to obese T2DM patients: * The glucagon receptor occupancy of SAR425899 at two dose levels in the human liver with positron-emission tomography (PET) imaging using \[68Ga\]Ga-DO3A-VS-Cys40-Tuna-2 as a tracer compound. * The GLP-1 receptor occupancy of SAR425899 at two dose levels in the human pancreas with PET imaging using \[68Ga\]Ga-DO3A-VS-Cys40-Exendin-4 as a tracer compound. * Pharmacodynamic effects on fasting plasma glucose and biomarkers of lipid metabolism. * Pharmacokinetic parameters for SAR425899 after repeated subcutaneous (SC) doses in plasma. * Safety and tolerability of SAR425899.
Study duration is approximately 7 weeks with a 20 days treatment period.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
13
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Pharmaceutical form: Solution for injection Route of administration: Subcutaneous
Investigational Site Number 7520001
Uppsala, Sweden
Glucagon receptor occupancy
Change of glucagon receptor tracer binding in the liver with SAR425899 between Day 1 and Day 20
Time frame: Day 1 and Day 20
GLP-1 receptor occupancy
Change of GLP-1 receptor tracer binding in the pancreas with SAR425899 between Day 1 and Day 17
Time frame: Day 1 and Day 17
Adverse events
Number of adverse events in patients under treatment with SAR425899
Time frame: Up to 27 days
Pharmacokinetics
Assessment of SAR425899 maximum plasma concentration (Cmax)
Time frame: Day 20
Change in fasting plasma glucose (FPG)
Absolute change in FPG from baseline to Day 20
Time frame: Day 1 to Day 20
Change in ketone bodies
Absolute change in ketone bodies from baseline to Day 20
Time frame: Day 1 to Day 20
Change lipid biomarkers
Absolute change cholesterol from baseline to Day 20
Time frame: Day 1 to Day 20
Change in volume of distribution (Vt) in the liver
Change of glucagon receptor tracer Vt in the liver with SAR425899 between Day 1 and Day 20
Time frame: Day 1 and Day 20
Change in Vt in the pancreas
Change of GLP-1 receptor tracer Vt in the pancreas with SAR425899 between Day 1 and Day 17
Time frame: Day 1 and Day 17
Average standard uptake values (SUVs) of PET tracers in the liver and pancreas
Average SUVs for glucagon and GLP-1 tracer in liver and pancreas
Time frame: Day 1, Day 17 and Day 20
Pharmacokinetics
Assessment of SAR425899 time to reach Cmax ( tmax)
Time frame: Day 20
Pharmacokinetics
Assessment of SAR425899 area under the concentration versus time curve (AUC)
Time frame: Day 20
Pharmacokinetics
Assessment of SAR425899 terminal elimination half-life ( t1/2)
Time frame: Day 20
Pharmacokinetics
Assessment of SAR425899 total body clearance from the plasma (CL)
Time frame: Day 20
Change lipid biomarkers
Absolute change in free fatty acids from baseline to Day 20
Time frame: Day 1 to Day 20
Change lipid biomarkers
Absolute change in triglycerides from baseline to Day 20
Time frame: Day 1 to Day 20
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