Testing SAR445877 for advanced solid tumors
Official title: A Phase 1/2, Open Label, First-in-human, Dose Escalation and Expansion Study for the Evaluation of Safety, Pharmacokinetics, Pharmacodynamics, and Anti-tumor Activity of SAR445877 Administered as Monotherapy or in Combination With Other Anticancer Therapies in Adults With Advanced Solid Tumors
Run by Sanofi · NCT05584670 · Data updated 2026-11-12
This study is testing a new cancer treatment called SAR445877 to see if it can help adults with advanced solid tumors feel better and improve their health, both on its own and with other cancer therapies.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 542 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | cetuximab, prednisone, bevacizumab |
| Locations | 22 sites (Newark, Delaware and 21 other locations) |
| Status | Recruiting |
| Started | November 29, 2022 |
| Main results expected | January 19, 2027 |
| Study ends | June 28, 2028 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT05584670 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with advanced unresectable or metastatic solid tumors for which no standard therapy is available.
✕Probably not a fit
Patients with early-stage solid tumors or those who have effective standard treatment options may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 1/2 open-label study designed to evaluate the safety and preliminary efficacy of SAR445877, both as a standalone treatment and in combination with other anticancer therapies, for adults with advanced unresectable or metastatic solid tumors. The study consists of two parts: a dose escalation phase to determine the optimal therapeutic doses and a dose expansion phase to further assess safety and efficacy in specific cancer types. Participants will receive treatment until disease progression or unacceptable side effects occur, with follow-up continuing until certain endpoints are reached.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with advanced solid tumors who have limited alternatives.
How similar studies have gone: Other studies have shown promise with similar approaches in targeting advanced solid tumors, but this specific treatment is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
1. Dose escalation Part 1A and Japan Cohort F
* Participants with advanced unresectable or metastatic solid tumors for which, in the judgement of the investigator, no standard alternative therapy is available or is not in the best interest of the participant
2. Dose escalation Part 1B
* Participants with advanced unresectable or metastatic melanoma, NSCLC; renal cell carcinoma (RCC); HCC, colorectal cancer (MSI-H/dMMR), malignant pleural mesothelioma or esophageal squamous cell carcinoma (ESCC). and for who, in the judgement of the investigator, no standard alternative therapy is available or is not in the best interest of the participant.
3. Dose escalation Part 1C
* Histologically or cytologically confirmed diagnosis of advanced unresectable or metastatic colorectal cancer
* Participants with RAS-mutant and BRAF-mutant colorectal cancer are eligible for enrollment.
4. Dose expansion/optimization Part 2
Cancer diagnosis:
* Participants in Cohorts A1 and A2 (Part 2A): Histologically or cytologically confirmed diagnosis of metastatic non-small cell lung cancer (NSCLC)
* Participants in Cohort B (part 2A): Histologically or cytologically confirmed diagnosis of advanced unresectable or metastatic hepatocellular carcinoma (HCC), or clinically by American Association for the Study of Liver Diseases (AASLD) criteria in cirrhotic participants (participants without cirrhosis must have had histological confirmation of diagnosis)
* Participants in Cohorts C1 and C2 (part 2A):
* Histologically or cytologically confirmed diagnosis of advanced unresectable or metastatic gastric cancer (GC) or Siewert Type 2 \& 3 gastro esophageal junction (GEJ) adenocarcinoma
* Disease with any CPS scoring. No need for CPS determination at local laboratory
* Participants must have MSI (metastatic microsatellite instability) or MMR (mismatch repair) status known or determined locally and must have non-MSI-H or proficient MMR (pMMR) disease to be eligible.
* Participants with unknown HER2/neu status must have their HER2/neu status determined locally. Participants with HER2/neu negative are eligible. Participants with HER2/neu positive tumors must have documentation of disease progression on treatment containing an approved HER2 targeted therapy to be eligible.
* Participants in Part 2A Cohorts E1 and E2, Part 2B Cohort E3 and Part 2D Cohorts H1 and H2: Histologically or cytologically confirmed diagnosis of advanced unresectable or metastatic colorectal cancer.
* Participants in Part 2A Cohorts E1, and E2 and Part 2B Cohort E3 MSI status:
Participants must have MSI status known or determined locally and must have non- MSI-H disease to be eligible.
* Participants in Part 2A Cohorts E1, E2, Part 2B Cohort E3 and Part 2D Cohorts H1 and H2: Participants with RAS-mutant and BRAF-mutant colorectal cancer are eligible for enrollment.
* Part 2C Cohorts G1, G2 and G3: Participants with histologically confirmed unresectable locally advanced or metastatic melanoma
5. Prior anticancer therapy (For dose expansion/optimization Part 2 only)
* Participants in Cohorts A1 and A2: Participants must have received at least 1 systemic therapy for the metastatic setting and must not be amenable to the available SOC.
* Participants in Cohort B: Participants who have received at least 1 prior anticancer therapy, including an anti-PD1/PD-L1 containing regimen, and for whom have progressed after a primary or secondary resistance to an anti-PD1/PD-L1.
* Participants in Cohorts C1 and C2: Participants should have failed or relapsed after at least 1 prior line of treatment which may or may not include an anti-PD1/PD-L1-based treatment depending on local standard of care.
* Participants in Cohort D: Participants must have received at least 1 systemic therapy for their advanced/ metastatic setting and must not be amenable to the available SOC.
* Participants in Part 2A Cohorts E1 and E2 and Part 2D Cohorts H1 and H2 should have failed or relapsed on at least 2 prior regimens.
* Participants in cohort E3 should have failed or relapsed on at least 1 prior regimen. Participants who have received cetuximab or other anti-EGFR therapy as part of their prior line of treatment are eligible.
* Part 2C Cohorts G1, G2 and G3: Participants must have received at least one prior line of therapy for advanced/metastatic melanoma and/or does not have any standard of care (SoC) treatment option or decline or is intolerant to be treated with SoC treatment.
Measurable Disease:
* At least 1 measurable lesion per RECIST 1.1 criteria
Part 1C and Part 2D: Adequate coagulation function for all participants. For participants receiving anti-coagulant therapy (except platelet anti-aggregates) the adequate therapeutic levels of INR should be confirmed.
Capable of giving signed informed consent.
Exclusion Criteria:
* Eastern Cooperative Oncology Group (ECOG) performance status of ≥2
* Predicted life expectancy ≤3 months
* For participants with HCC- Cohort B (Part 2): Child Pugh Class B or C liver score. Participants with Child Pugh Class B-7 score are allowed for Part 1.
* Diagnosed of any other malignancies, either progressing or requiring active treatments, within 2 years prior to enrollment
* Known active brain metastases or leptomeningeal metastases
* History of treatment-related immune-mediated (or immune-related) AEs from immune-modulatory agents (including but not limited to anti-PD1/PD-L1 agents and anti-cytotoxic T lymphocyte associated protein 4 monoclonal antibodies) that caused permanent discontinuation of the agent, or that were Grade 4 in severity or have not resolved to Grade ≤1
* Has any condition requiring ongoing/continuous corticosteroid therapy (\>10 mg prednisone/day or an anti-inflammatory equivalent) within 1 week prior to the first dose of the study medicine
* Any clinically significant cardiac (including valvular) or vascular (thromboembolic disorders) disease, within 6 months prior to the first IMP administration
* Ongoing or recent (within 2 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse events
* Has a known history or any evidence of interstitial lung disease or active, non-infectious pneumonitis within 3 years prior to the first dose of the study drug.
* Organ transplant requiring immunosuppressive treatment
* Uncontrolled or active infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C infection, or has a diagnosis of immunodeficiency
NOTE: Other Inclusion/Exclusion criteria may apply.
The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Where it's running
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Christiana Care Health System - Newark- Site Number : 8400011
Newark, Delaware, United States Recruiting -
University of Iowa- Site Number : 8400014
Iowa City, Iowa, United States Recruiting -
The University of Kansas Cancer Center - Westwood- Site Number : 8400008
Westwood, Kansas, United States Recruiting -
Karmanos Cancer Institute - Detroit- Site Number : 8400006
Detroit, Michigan, United States Recruiting -
John Theurer Cancer Center- Site Number : 8400001
Hackensack, New Jersey, United States Recruiting -
NYU Langone Medical Center- Site Number : 8400013
New York, New York, United States Recruiting
Show 16 more locations
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Rhode Island Hospital - Providence - Eddy Street- Site Number : 8400004
Providence, Rhode Island, United States Recruiting -
The University of Texas MD Anderson Cancer Center- Site Number : 8400005
Houston, Texas, United States Recruiting -
Fred Hutchinson Cancer Center- Site Number : 8400010
Seattle, Washington, United States Recruiting -
Servicios Médicos URUMED SpA_Investigational Site Number : 1520002
Rancagua, General Bernardo O'Higgins, Chile Recruiting -
BIOCINETIC Ltda_Investigational Site Number : 1520008
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Centro de Investigacion Clinica Bradford Hill_Investigational Site Number : 1520004
Santiago, Reg Metropolitana de Santiago, Chile Recruiting -
Fundacion Arturo Lopez Perez (FALP) - Providencia - Jose Manuel Infante 805_Investigational Site Number : 1520007
Providencia, Chile Recruiting -
Hadassah Medical Center - PPDS_Investigational Site Number : 3760005
Jerusalem, Jerusalem, Israel Recruiting -
Sheba Medical Center - PPDS_Investigational Site Number : 3760003
Ramat Gan, Israel Recruiting -
Tel Aviv Sourasky Medical Center Ichilov - PPDS_Investigational Site Number : 3760001
Tel Aviv, Israel Recruiting -
Shamir Medical Center_Investigational Site Number : 3760004
Tzrifin, Israel Recruiting -
Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis_Investigational Site Number : 5280001
Amsterdam, North Holland, Netherlands Recruiting -
Erasmus MC_Investigational Site Number : 5280003
Rotterdam, South Holland, Netherlands Recruiting -
Instituto de Investigacion Oncologica Vall d'Hebron (VHIO) - EPON_Investigational Site Number : 7240007
Barcelona, Barcelona [Barcelona], Spain Recruiting -
START MADRID_Hospital Universitario HM Sanchinarro - CIOCC_Investigational Site Number : 7240005
Madrid, Spain Recruiting -
Investigational Site Number : 3920001
Kashiwa, Chiba, Japan Active not recruiting
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.