- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02250443
Study of Long-term Safety, Efficacy Tolerability of BYM338 in Patients With Sporadic Inclusion Body Myositis (BYM338)
An Open-label, Long-term Study to Evaluate the Safety and Tolerability of BYM338 in Patients With Sporadic Inclusion Body Myositis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Arizona
-
Phoenix, Arizona, United States, 85013
- Novartis Investigative Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115
- Novartis Investigative Site
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Written informed consent must be obtained before any assessment is performed.
- Patients who participated in the CBYM338X2205 study. A patient is defined as participating in the study if they were enrolled and received study medication.
- Able to communicate well with the investigator, to understand and comply with the requirements of the study.
Exclusion Criteria:
- Patients for whom the treating physician considers it inappropriate for continuation into the study, including consideration of physical and laboratory assessment of the patient at screening.
- Patients who were non-compliant or demonstrated a serious protocol deviation in the previous study.
- Use of other investigational drugs at the time of enrollment, within 30 days or 5 half-lives of enrollment, or until the expected PD effect has returned to baseline, whichever is longer; or longer if required by local regulations.
- History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes
- Swallowing difficulty or other reason that precludes adequate intake of energy and protein, defined as at least 20 kcal/kg/day and 0.6 g protein/kg/day as determined by the investigators assessment.
- On the Columbia-Suicide Severity Rating Scale, a score of 4 or 5 on the Suicidal Ideation item or any "yes" on the Suicidal Behavior item that is related to suicidal behavior occurring during the last 2 years.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.
Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, must use highly effective contraception during the study and for 5 half-lives (14 weeks) after stopping treatment. Highly effective contraception is defined as either:
- Total abstinence: When this is in line with the preferred and usual lifestyle of the subject. [Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception].
- Sterilization: have had surgical bilateral oophorectomy (with or without hysterectomy) or tubal ligation at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment.
- Male partner sterilization (with the appropriate post-vasectomy documentation of the absence of sperm in the ejaculate). [For female study subjects, the vasectomized male partner should be the sole partner for that patient].
- Use of a combination of any two of the following (a+b or a+c or b+c):
- Use of oral, injected or implanted hormonal methods of contraception.
- Placement of an intrauterine device (IUD) or intrauterine system (IUS).
- Barrier methods of contraception: Condom or Occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/vaginal suppository.
In case of use of oral contraception women should have been stable on the same pill for a minimum of 3 months before taking study treatment. Postmenopausal females must have had no regular menstrual bleeding for at least one (1) year prior to initial dosing. Menopause will be confirmed by a plasma FSH level of > 40 IU/L (or as determined by the cut off used by the local clinical laboratory) at screening. Female patients who report surgical sterilization must have had the procedure at least six (6) months prior to initial dosing. Surgical sterilization procedures should be supported with clinical documentation made available to the sponsor and noted in the Relevant Medical History / Current Medical Conditions section of the eCRF. All female patients must have negative pregnancy test results at screening and baseline.
- Use of oral beta agonists, oral corticosteroids, androgens or androgen inhibitors (including LHRH agonists), or intravenous gamma globulin (IVIG) within the previous 6 months. Short-term corticosteroids for unrelated indications, defined as < 20 mg/d for < 30 days and ending at least 60 days prior to screening, are acceptable.
- Patients with known bleeding disorders, or who are under treatment with anti-coagulants.
- A presence or history of clinically relevant ECG abnormalities, or including but not limited to Long QT syndrome, ischemic changes that cannot be shown to be stable for at least 6 months by previous ECG, or 2nd degree Mobitz II or 3rd degree heart block.
- History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
- Significant illness which has not resolved within two (2) weeks prior to initial dosing.
- A positive HIV, Hepatitis B surface antigen or Hepatitis C test result. No additional exclusions may be applied by the investigator, in order to ensure that the study population will be representative of all eligible patients.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: BYM338
BYM338 Group
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
Time Frame: Up to 29 month
|
Any Adverse Event was defined as occurrence of any symptom regardless of intensity grade, Serious Adverse Event (SAEs) assessed as medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in persistent or significant disability/incapacity
|
Up to 29 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes From Baseline in Lean Body Mass (LBM) by Dual-Energy X-ray Absorptiometery (DXA)
Time Frame: Baseline, Day 1, 57, 113, 169, 365, 533, and day 729
|
To assess the effect of multiple doses of BYM338 on lean body mass as measured by DXA in terms of change from baseline.
|
Baseline, Day 1, 57, 113, 169, 365, 533, and day 729
|
Pharmacokinetics (PK) Parameter of Cmin From Multiple i.v. Dosing
Time Frame: Day 29, 85, 169, 253, 337, 421, 505, 589, 673, 757, 1177
|
To obtain pharmacokinetic data from multiple i.v.
dosing of BYM338 in this patient population.
Pre-dose, 30 mins & 4 hours post-dose on Day 1. Pre-dose only on each subsequent administration
|
Day 29, 85, 169, 253, 337, 421, 505, 589, 673, 757, 1177
|
Changes From Baseline in Physical Function Reported by Patients
Time Frame: Baseline, Week 104
|
Self-reported physical function was assessed by a newly developed patient reported outcome named sporadic inclusion body myositis (sIBM) functional assessment (sIFA).
The sIFA consists of 11 items scored on an 11 point numerical rating scale from 0 (no difficulty) to 10 (unable to do) across 3 domains: upper body functioning, lower body functioning and general functioning.
Participants completed the assessment where the recall period was the past week prior to completing the patient reported outcome (PRO).
The total score on the sIFA scale ranges from 0 (minimum) to 110 (maximum).
Higher values represent a worse outcome.
A positive change from baseline indicates deterioration.
Due to the no-signal this analysis was cancelled.
|
Baseline, Week 104
|
Changes From Baseline in Muscle Strength.
Time Frame: Baseline, Day 1, 113, 169, 365, 533, 729
|
Quadriceps muscle strength was measured, Quadriceps Quantitative Muscle Testing (QMT) by portable fixed dynamometry (PFD).
A negative change from baseline indicates deterioration
|
Baseline, Day 1, 113, 169, 365, 533, 729
|
Changes From Baseline in Muscle Function (Hand-grip and Pinch-grip Dynamometry)
Time Frame: Baseline,Day 1, 113, 169, 365, 533, 729
|
The effect of BYM338 on additional muscle function measures (hand-grip and pinch-grip dynamometry).
|
Baseline,Day 1, 113, 169, 365, 533, 729
|
Changes From Baseline in Muscle Function 6 Minute Walking Distance
Time Frame: Baseline,Day 1, 113, 169, 365, 533, 729
|
The effect of BYM338 on additional muscle function measures (6 minute walking distance).
The 6MWD test measured the distance (in meters) that a participant walked in a 6 minute timeframe.
A positive change from baseline indicates improvement.
|
Baseline,Day 1, 113, 169, 365, 533, 729
|
Change From Baseline of Thigh Muscle Volume (TMV) by MRI Scan
Time Frame: Baseline, Day 1, 57, 113
|
Thigh Muscle Volume (TMV) change was evaluated by a responder analysis.
Patients whose loss of muscle TMV by MRI was equal or more than 2% at Week 8 and 16 were considered responders
|
Baseline, Day 1, 57, 113
|
Pharmacokinetics (PK) Parameter of Cmax
Time Frame: Day 1
|
To obtain pharmacokinetic data from multiple i.v.
dosing of BYM338 in this patient population.
Pre-dose, 30 mins & 4 hours post-dose on Day 1.
|
Day 1
|
Time to Reach the Maximum Concentration After Drug Administration (Tmax)
Time Frame: Day 1
|
The time to reach the maximum concentration after drug administration
|
Day 1
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CBYM338X2205E1
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Sporadic Inclusion Body Myositis (sIBM)
-
University of Kansas Medical CenterCompletedInclusion Body Myositis | Sporadic Inclusion Body MyositisUnited States
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States
-
La-ser Europe LimitedUnknownSporadic Inclusion Body Myositis
-
University of Southern DenmarkOdense University HospitalCompleted
-
Regeneron PharmaceuticalsWithdrawnSporadic Inclusion Body Myositis
-
University of California, IrvineNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)Active, not recruitingInclusion Body Myositis | Sporadic Inclusion Body MyositisUnited States
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States, Belgium, Italy, Australia, Netherlands, Switzerland, France, United Kingdom, Denmark, Japan
-
National Institute of Neurological Disorders and...CompletedMyositis | Sporadic | Inclusion BodyUnited States
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States, Belgium, Italy, Australia, Netherlands, Switzerland, France, United Kingdom, Denmark, Japan
-
Ludwig-Maximilians - University of MunichCompletedInclusion Body Myositis, Sporadic | Inclusion Body Myopathy, Autosomal-recessive | Inclusion Body Myopathy, Autosomal-dominant | Congenital Cataracts, Facial Dysmorphism, And NeuropathyGermany
Clinical Trials on BYM338 (Bimagrumab)
-
Novartis PharmaceuticalsCompletedSarcopeniaBelgium, United States, Australia, Germany, Spain, Taiwan, France, Korea, Republic of, Japan, Russian Federation, Denmark, Czechia, Switzerland
-
Novartis PharmaceuticalsCompletedMuscle Wasting (Atrophy) After Hip Fracture SurgeryColombia, Belgium, Hungary, Taiwan, Spain, Czechia, United States, France, Germany, Turkey, Japan, Russian Federation, United Kingdom, Argentina, Australia, Mexico, Chile, Switzerland, Austria
-
Novartis PharmaceuticalsCompletedDiabetes Mellitus, Type 2United States, United Kingdom
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States, Belgium, Italy, Australia, Netherlands, Switzerland, France, United Kingdom, Denmark, Japan
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States, Belgium, Italy, Australia, Netherlands, Switzerland, France, United Kingdom, Denmark, Japan
-
Novartis PharmaceuticalsCompletedSkeletal MuscleUnited States
-
Novartis PharmaceuticalsCompletedSarcopeniaTaiwan, United States, Belgium, Russian Federation, Korea, Republic of, Japan, France, Denmark, Australia, Czechia, Spain, Switzerland
-
Novartis PharmaceuticalsCompletedChronic Obstructive Pulmonary Disease (COPD) With CachexiaUnited States, United Kingdom, Netherlands
-
Novartis PharmaceuticalsCompletedSporadic Inclusion Body MyositisUnited States
-
Novartis PharmaceuticalsWithdrawnMechanical Ventilation