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Completed

NCT Number: NCT05856331

Study of SAR447537 (INBRX-101) Compared to Plasma-derived A1PI Therapy in Adults With AATD Emphysema

Phase 2 study to compare SAR447537 (INBRX-101) to plasma derived A1PI therapy in adults with AATD emphysema

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Donna McIntyre, Brisbane, Queensland, Australia

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About this study

This is a Phase 2, Double-Blind, Randomized, Active-Control, Parallel Group Study to Assess the Pharmacokinetics, Pharmacodynamics, Immunogenicity, and Safety of SAR447537 (INBRX-101) Compared to Plasma-Derived Alpha1-Proteinase Inhibitor (A1PI) Augmentation Therapy in Adults With Alpha-1 Antitrypsin Deficiency (AATD) Emphysema.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males or females 18-80 years of age, inclusive, at the time of screening
  • Diagnosis of AATD
  • Evidence of emphysema secondary to AATD
  • FEV1 of ≥ 30% and ≤ 80% predicted at screening
  • Current non-smoking status.

Exclusion criteria

  • Receipt of A1PI augmentation therapy within 5 weeks prior to the first dose of study drug
  • Known or suspected allergy to components of SAR447537 (INBRX-101), A1PI or human IgG
  • Known selective or severe Immunoglobulin A (IgA) deficiency
  • Known or suspected diagnosis of type 1 diabetes or diagnosed with uncontrolled type 2 diabetes
  • Received IV immunoglobulins, monoclonal antibodies and/or other biologic therapies within 30 days
  • On waiting list for lung or liver transplant
  • Acute respiratory tract infection or COPD exacerbation within 4 weeks prior to or during screening
  • Evidence of decompensated cirrhosis
  • Active cancers or has a history of malignancy within 5 years prior to screening
  • History of unstable cor pulmonale
  • Clinically significant congestive heart failure

Treatment and study plan

SAR447537

Drug

A1PI, Recombinant, Bivalent Fc Fusion Protein

Zemaira

Drug

Alpha1-Proteinase Inhibitor (Human)

Other names: Respreeza

Primary outcomes

  1. Serum functional AAT (fAAT) levels at steady-state

    Time frame: 32 Weeks

    To assess the mean change in average fAAT concentration as measured by anti-neutrophil elastase capacity [ANEC] from baseline to average serum trough fAAT concentration at steady-state (Ctrough,ss) in participants treated with SAR447537 compared to A1PI

Secondary outcomes

  1. fAAT Concentration changes

    Time frame: 32 Weeks

    Mean change in serum fAAT concentration from baseline to fAAT average concentration at steady-state (Cavg, ss) in participants treated with SAR447537 compared to A1PI.

  2. Days with fAAT above the lower limit of the normal range

    Time frame: 32 weeks

    Percentage of days with fAAT above the lower limit of the normal range during steady-state dosing in participants treated with SAR447537 compared to A1PI.

  3. Incidence of TEAEs

    Time frame: 32 Weeks

    Incidence of all treatment-emergent adverse events (TEAEs), TEAEs ≥ Grade 3, serious adverse events (SAEs), TEAEs leading to IMP discontinuation, adverse events of special interest (AESI) (including infusion- related reactions).

  4. Anti-drug antibodies

    Time frame: 32 Weeks

    Frequency of anti-drug antibodies (ADA) against SAR447537 and endogenous AAT, as well as neutralizing ADA (NAb) against SAR447537 and endogenous AAT.

  5. Population Pharmacokinetics: Clearance

    Time frame: 32 Weeks

    Modeling by means of appropriate software to characterize the pharmacokinetic profile of SAR447537 via estimation of the parameter clearance

  6. Population Pharmacokinetics: Volume of Distribution

    Time frame: 32 Weeks

    Modeling by means of appropriate software to characterize the pharmacokinetic profile of SAR447537 via estimation of the parameter volume of distribution

  7. Covariate Analysis: Biometric Values: Weight

    Time frame: 32 Weeks

    Assessment of the impact of participant's weight [in kg] on the pharmacokinetic profile of SAR447537

  8. Covariate Analysis: Biometric Values: Height

    Time frame: 32 Weeks

    Assessment of the impact of participant's height [in cm] on the pharmacokinetic profile of SAR447537

  9. Covariate Analysis: Biometric Values: Age

    Time frame: 32 Weeks

    Assessment of the impact of participant's age [in years] on the pharmacokinetic profile of SAR447537

  10. Covariate Analysis: Biometric Values: Sex

    Time frame: 32 Weeks

    Assessment of the impact of participant's sex [male or female] on the pharmacokinetic profile of SAR447537

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

Phase 2, Double-Blind, Randomized, Active-Control, Parallel Group Study to Assess the Pharmacokinetics, Pharmacodynamics, Immunogenicity, and Safety of SAR447537 (INBRX-101) Compared to Plasma-Derived Alpha1-Proteinase Inhibitor (A1PI) Augmentation Therapy in Adults With Alpha-1 Antitrypsin Deficiency (AATD) Emphysema

Acronym: ELEVAATE

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
May 12, 2023
Registry last updated
Aug 11, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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