Primary Objective: To assess the long-term safety and tolerability in patients with cold agglutinin disease (CAD), after multiple doses of SAR445088 Secondary Objective: To assess, in patients with cold agglutinin disease (CAD), after multiple doses of SAR445088: * The long-term effect of SAR445088 on complement mediated hemolysis * The long-term pharmacodynamics (PD) effect of SAR445088 relating to complement inhibition * The long-term pharmacokinetic (PK) profile of SAR445088 * The long-term immunogenicity of SAR445088
The screening period for this study is up to 6 weeks. The treatment period for this study will continue for 2 years after last participant entered Part 2 (either having switched from Part 1 or as a SAR445088-naïve participant), or until SAR445088 development is discontinued, whichever comes first.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Pharmaceutical form: solution for injection Route of administration: IV and SC (Part 1) IV (Part 2)
Investigational Site Number : 2760001
Essen, Germany
Investigational Site Number : 3800001
Milan, Milano, Italy
Investigational Site Number : 5280001
Amsterdam, Netherlands
Investigational Site Number : 5780001
Bergen, Norway
Investigational Site Number : 8260001
London, London, City of, United Kingdom
Number of participants with treatment-emergent adverse events (TEAE)
The number of participants experiencing TEAEs will be reported for the overall safety population.
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Mean change from baseline in total bilirubin over time
Assessment of total bilirubin
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Mean change from baseline in hemoglobin over time
Assessment of hemoglobin
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Mean change from baseline in lactate dehydrogenase over time
Assessment of lactate dehydrogenase
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Mean change from baseline in reticulocyte count over time
Assessment of reticulocyte count
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Complement System Classical Pathway Levels as Measured by WIESLAB Assay
Inhibition by SAR445088 of the complement system classical pathway measured by the WIESLAB assay.
Time frame: Day 1 or Day 1-IV to Week 48-IV
Complement System Alternative Pathway Levels as Measured by WIESLAB Assay
Part 1: Effect of SAR445088 on the complement system alternative pathway measured by the WIESLAB assay.
Time frame: Day 1 to Week 24
Mean change in CH50 over time
Complement CH50 is a blood test that helps us determine whether protein abnormalities and deficiencies in the complement system are responsible for any increase in autoimmune activity. It will be assessed using complement assays.
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
Total Complement Factor C4 Levels
Total C4 Levels will be assessed in plasma using complement assays
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
PK parameter: Cmax
Maximum observed concentration (Cmax) of SAR445088 in plasma will be assessed
Time frame: Day 1 or Day 1-IV to Week 48-IV
PK Parameter: AUC
Area under the plasma concentration versus time curve calculated using the trapezoidal method at steady state
Time frame: Day 1 or Day 1-IV to Week 48-IV
Number of participants with anti-SAR445088 antibodies
The immunogenicity for SAR445088 will be assessed by summarizing the number of participants with anti-SAR445088 antibodies (ADA)
Time frame: Day 1 or Day 1-IV to end of study, approximately 6 years
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