Experimental drug for brittle bones tested in small trial
NCT ID NCT05231668
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This early-stage trial tested a single dose of a drug called SAR439459 in 16 adults with osteogenesis imperfecta (brittle bone disease). The drug aims to block a protein that may weaken bones. The study focused on safety and how the drug moves through the body, but it was terminated early, so results are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SAR439459 (a monoclonal antibody that blocks TGFβ)
- What this could lead to
- If successful, this could point toward a new treatment to strengthen bones and reduce fractures in people with osteogenesis imperfecta.
- What could go wrong
- This was a very early, small Phase 1 trial that was terminated, so results are limited. The drug may not prove effective or safe in larger studies.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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16 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Nov 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants who are clinically categorized as Type I or IV osteogenesis imperfecta with a previously documented pathogenic genetic variant in human collagen type 1 alpha 1 gene (COL1A1) or human collagen type 1 alpha 2 gene (COL1A2). * Participants who have experienced at least 1 bone fracture in the past 10 years OR 2 or more (≥2) fractures since the age of 18. * Body weight ≥30.0 kg. * Contraception for sexually active male participants or female patient; not pregnant or breastfeeding; no sperm donating for male participant. * Signed written informed assent/consent. Exclusion Criteria: * Previously installed rods or metal hardware that would prevent bone mineral density evaluation of the lumbar spine (note: only two of the L1-L4 vertebrae are necessary for evaluation). * History of moderate (25-40°) to severe (\>40°) scoliosis assessed as Cobb angle (unless scoliosis does not impact assessment of bone mineral density in the lumbar vertebrae in the opinion of the investigator). * Postmenopausal women who: * Are within 5 years of the onset of menopause (for example less than 5 years from their last menstruation or post-hysterectomy), however if the person has been on hormone replacement therapy for more than 1 year prior to enrollment, then they are eligible regardless of time from onset of menopause. The person must be willing to continue hormone replacement therapy throughout the study duration. OR * Were previously on hormone replacement therapy but have stopped within the past 5 years. * History of treatment with denosumab, anti-sclerostin antibody, parathyroid hormone, bisphosphonates, or any other experimental therapy for OI within 6 months prior to any study baseline assessment. * Known bleeding disorder. * History of significant bleeding event that required hospitalization, surgery, or a blood transfusion that was possibly associated with increased bleeding tendency. * Any major surgery within the last 28 days prior to investigational medicinal product (IMP) administration. * Elective surgery or invasive procedure anticipated within 6 months after the IMP administration. * Therapeutic doses of anticoagulants or antiplatelet agents (eg, 1 mg/kg bid of enoxaparin, 300 mg of aspirin daily, and 75 mg of clopidogrel daily or equivalent) within 7 days prior to the IMP administration. * Any known central nervous system (CNS) or intraocular lesion that has a risk of bleeding. * Prior history of skin cancers including melanoma, squamous cell carcinoma, or basal cell carcinoma. * Clinically significant cardiac valvular disorder or symptomatic heart failure. * Vitamin D (25-hydoxyvitamin D) \<15 ng/dL; rescreening will be allowed after supplementation. The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor College of Medicine - Site Number:8400003
Houston, Texas, 77030, United States
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Bone Research and Education Centre_Site Number :1240003
Oakville, Ontario, L6M 1M1, Canada
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Cincinnati Children's Hospital Medical Center Site Number : 8400010
Cincinnati, Ohio, 45229, United States
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Department of Medicine/ School of Clinical Sciences at Monash Health Monash University_246 Clayton Road_Site Number :0360002
Clayton, Victoria, 3168, Australia
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Hopital Edouard Herriot _Site Number :2500002
Lyon, 69003, France
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Hopital Lariboisiere_Site Number :2500001
Paris, 75010, France
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Indiana University School of Medicine_Site Number: 8400002
Indianapolis, Indiana, 46202, United States
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Kennedy Krieger Institute_Site number 8400004
Baltimore, Maryland, 21205, United States
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Toronto general Hospital_Site Number :1240002
Toronto, M5G 2C4, Canada
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UCLA Health_Site Number: 8400006
Los Angeles, California, 90095, United States
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Vanderbilt University Site Number : 8400011
Nashville, Tennessee, 37232, United States
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Westmead Hospital_Site Number :0360003
Westmead, New South Wales, 2145, Australia
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Yale University - Site Number:8400007
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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