Biophytis SA, a clinical-stage biotechnology company, announced that it has filed for approval on the Food and Drug Administration (FDA) portal to launch its SARA-31 programme in the US, the first ever phase 3 study in sarcopenia. The launch of the phase 3 programme follows promising results from the SARA-INT phase 2b study and discussions with health authorities in 2022. Based on the results of the previous study and feedback from the US government agency, Biophytis is starting its phase 3 program by filing the first ever phase 3 application (SARA-31) in sarcopenia with the FDA. This follows the recent submission to the European Medicines Agency. The objective of the SARA-31 phase 3 study in sarcopenia is to evaluate the efficacy and safety of Sarconeos (BIO101) in the treatment of sarcopenic patients at risk of mobility disability. Approximately 900 patients over 65 years of age with severe sarcopenia (3 = SPPB = 7) with low walking speed (4-m Gait speed = 0.8 m/s) and low grip strength (HGS < 20kg for women and < 35.5 kg for men) will be included. They will be treated for a minimum of 12 months and a maximum of 36 months, receiving either placebo or 350mg of Sarconeos (BIO101) twice daily. The primary endpoint will be the assessment of the risk of major mobility disability (MMD), measured by the ability to walk 400m in less than 15 minutes over time. In addition to this primary endpoint, the following secondary endpoints will be assessed: walking speed (4-m walking speed from the Short Physical Performance Battery (SPPB) test), handgrip strength (HGS) and patient-reported quality of life (Patient Reported Outcome SarQol, a questionnaire developed specifically for sarcopenia). Biophytis expects a response from the regulatory authorities during the third quarter of 2023, which would enable Biophytis to initiate the study in the United States. The principal investigator will be Roger A. Fielding, PhD, who heads the Nutrition, Physiology, Exercise and Sarcopenia (NEPS) Laboratory at Tufts University in Boston. Stanislas Veillet, chairman and CEO of Biophytis stated:
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