Primary Objectives: Part 1 (Dose Escalation) * To determine the MTD/maximum administered dose (MAD) of SAR443216 administered as a single agent in participants with HER2 expressing solid tumors and determine the RD(s) for intravenous (IV) and subcutaneous (SC) administration in the dose escalation part. * To determine the safety of SAR443216 after intravenous (IV) and subcutaneous (SC) administration. Part 2 (Dose expansion) • To assess preliminary clinical activity of single agent SAR443216 at the RD(s) in participants with HER2 expressing solid tumors, with various levels of HER2 expression. Secondary Objectives: Part 1 • To assess preliminary clinical activity of single agent SAR443216 after IV and SC administration at the RD(s) in participants with HER2 expressing solid tumors, with various levels of HER2 expression. Part 2 • To determine the safety of SAR443216. Part 1 and 2 * To characterize the pharmacokinetic (PK) profile of SAR443216 when administered as a single agent after IV and SC (Part 1 only) administration. * To evaluate the immunogenicity of SAR443216 after IV and SC administration. * To assess preliminary clinical activity of single agent SAR443216 at the RD(s) in participants with HER2 expressing solid tumors, with various levels of HER2 expression.
The expected duration of study intervention for participants may vary, based on progression date; median expected duration of study per participant is estimated to be: * 7.5 months (up to 1 month for screening, a median of 3.5 months for treatment, and a median of 3 months for long term follow-up) in escalation. * 9.5 months (up to 1 month for screening, a median of 5.5 months for treatment, and a median of 3 months for long term follow-up) in expansion.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
Pharmaceutical form: Powder for solution; Route of administration: IV infusion
Pharmaceutical form: Powder for solution; Route of administration: SC injection
~University of Texas - MD Anderson Cancer Center Site Number : 8400002
Houston, Texas, United States
Investigational Site Number : 0560002
Ghent, Belgium
Investigational Site Number : 2500001
Pierre-Bénite, France
Investigational Site Number : 2500002
Villejuif, France
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, South Korea
Investigational Site Number : 4100002
Seoul, Seoul-teukbyeolsi, South Korea
Investigational Site Number : 7240003
Barcelona, Barcelona [Barcelona], Spain
Investigational Site Number : 7240001
Madrid, Madrid, Comunidad de, Spain
Investigational Site Number : 7240002
Madrid / Madrid, Madrid, Comunidad de, Spain
Investigational Site Number : 1580001
Taichung, Taiwan
...and 1 more locations
Part 1: Dose Escalation Determine the MTD/maximum administered dose (MAD) and RD(s) of SAR443216
Incidence of study dose limiting toxicities (DLTs)
Time frame: Cycle 1, cycle duration is 28 days for 2-week lead-in schedule and 35 days for 3-week lead-in schedule
Part 1: Dose Escalation: Safety of SAR443216
Incidence of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and lab abnormalities according to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0.
Time frame: Baseline until end of study, up to approximately 7.5 months
Part 2: Dose Expansion Objective response rate (ORR) of SAR443216 in all participants
Objective response rate is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) per RECIST v1.1.
Time frame: From date of enrollment until the end of treatment, up to approximately 5.5 months
Part 2: Dose Expansion Duration of response (DoR) of SAR443216 in all participants.
Duration of response per RECIST v1.1 is defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of definitive disease progression or death due to any cause, whichever occurs first.
Time frame: From date of enrollment until the end of treatment, up to approximately 5.5 months
Part 1: Objective response rate (ORR) of SAR443216 in all participants
Objective response rate is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) per RECIST v1.1.
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months
Part 1: Duration of response (DoR) of SAR443216 in all participants
Duration of response per RECIST v1.1 is defined as the interval from the first documentation of CR or PR to the earlier of the first documentation of definitive disease progression or death due to any cause, whichever occurs first
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months
Part 1 and Part 2: Progression Free Survival (PFS)
Progression free survival (PFS) will be assessed by the Investigator per RECIST v1.1 and will be summarized using the Kaplan-Meier method
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part1 and 5.5 months for Part 2
Part 2: Safety of SAR443216
Number of participants with treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and lab abnormalities according to NCI CTCAE Version 5.0
Time frame: Baseline until the end of the study, up to approximately 9.5 months
Part 1 and Part 2: Pharmacokinetic Parameter: Cmax of SAR443216
Maximum observed plasma concentration
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part 1 and 5.5 months for Part 2
Part 1 and Part 2: Pharmacokinetic Parameter: Ctrough of SAR443216
Plasma concentration observed just before treatment administration during repeated dosing
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part 1 and 5.5 months for Part 2
Part 1 and Part 2: Pharmacokinetic Parameter: t 1/2 of SAR443216
Terminal half-life associated with the terminal slope (λz)
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part 1 and 5.5 months for Part 2
Part 1 and Part 2: Pharmacokinetic Parameter: AUC0-τ of SAR443216
Area under the plasma concentration versus time curve
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part 1 and 5.5 months for Part 2
Part 1 and Part 2: Evaluation of SAR443216 immunogenicity
Incidence of ADA induction and ADA persistence
Time frame: From date of enrollment until the end of treatment, up to approximately 3.5 months for Part 1 and 5.5 months for Part 2
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