Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
BAY2433334 · 3 trials · 3 indications
CV death included death due to stroke, MI, heart failure or cardiogenic shock, sudden death or any other death due to other cardiovascular causes. Death due to non-traumatic hemorrhage was included. Acute MI was used when there was evidence of myocardial necrosis in a clinical setting consistent with acute myocardial ischemia. Stroke was defined as an acute episode of focal or global neurological dysfunction caused by an injury of the brain, spinal cord, or retina as a result of hemorrhage or infarction. ST was defined incorporating diagnostic certainty as well as timing: "Definite" ST: The highest level of certainty. Either angiographic or pathological confirmation of stent thrombosis. "Probable" ST: Regardless of the time after the index procedure, any MI that is related to documented acute ischemia in the territory of the implanted stent without angiographic confirmation of stent thrombosis and in the absence of any other obvious cause
Type 2: any overt, actionable sign of hemorrhage that doesn't fit the criteria for type 3 or 5 but meets at least one of the following criteria: 1) requires nonsurgical, med intervention by a HCP, 2) leads to hospital or rise in level of care, or 3) prompt eval. Type 3a: 1) overt bleed + Hg drop of 3 to \<5 g/dl (provided Hg drop is related to bleed); 2 any transfusion with overt bleed. Type 3b: 1) overt bleed + Hg drop ≥5 g/dL (provided Hg drop is related to bleed); 2) cardiac tamponade; 3) bleed requiring surgical intervention for control (exclude dental/nasal /skin/hemorrhoid); 4) bleed requiring IV vasoactive agents. Type 3c: 1) ICH hemorrhage (doesn't include microbleeds or HT, does include intraspinal); subcategories confirmed by autopsy or imaging or LP; 2) intraocular bleed compromising vision. Type 5: fatal bleed. Type 5a: probable fatal bleed; no autopsy or image confirmation but clinical suspicion. Type 5b: definite fatal bleed; overt bleed or autopsy or image confirmation.
Ischemic stroke was defined as either of : 1) Rapid onset (or present on awakening) of a new focal neurological deficit with clinical (\>24 hours symptoms/signs) or imaging evidence of infarction that was not attributable to a non-ischemic cause; 2) Acute worsening of an existing focal neurological deficit that was judged to be attributable to a new infarction or extension of the previous infarction in the same vascular territory, based on persisting symptoms/signs or imaging evidence of infarction and no evidence of a non-ischemic etiology. If imaging was inconclusive, persistent symptoms/signs must be significant (worsening of NIHSS score of 4 or more) and sustained (duration of ≥24 hours or until death). Covert brain infarcts were defined as incident infarcts detected by serial MRI in the absence of an adjudicated stroke consistent with the location of the infarct. MRI criteria for brain infarction were available in the MRI procedures manual.
ISTH Major Bleeding criteria: 1. Fatal bleeding, and/or 2. Symptomatic bleeding in a critical area or organ (intracranial, intraocular, intraspinal, pericardial, retroperitoneal, intraarticular, or intramuscular with compartment syndrome), and/or 3. Clinically overt bleeding associated with a recent decrease in the hemoglobin level of ≥ 2 g/dL (20 g/L; 1.24 mmol/L) compared to the most recent hemoglobin value available before the event, and/or 4. Clinically overt bleeding leading to transfusion of 2 or more units of packed red blood cells or whole blood. ISTH Clinically Relevant Non-Major Bleeding is considered any sign or symptom of hemorrhage that does not fit the criteria for the ISTH definition of major bleeding, but does meet at least one of the following criteria 1. requiring medical intervention by a healthcare professional. 2. leading to hospitalization or increased level of care. 3. prompting a face to face (i.e. not just a telephone or electronic communication) evaluation.
ISTH Major Bleeding criteria: 1. Fatal bleeding, and/or 2. Symptomatic bleeding in a critical area or organ (intracranial, intraocular, intraspinal, pericardial, retroperitoneal, intraarticular, or intramuscular with compartment syndrome), and/or 3. Clinically overt bleeding associated with a recent decrease in the hemoglobin level of ≥ 2 g/dL (20 g/L; 1.24 mmol/L) compared to the most recent hemoglobin value available before the event, and/or 4. Clinically overt bleeding leading to transfusion of 2 or more units of packed red blood cells or whole blood. ISTH Clinically Relevant Non-Major Bleeding is considered any sign or symptom of hemorrhage that does not fit the criteria for the ISTH definition of major bleeding, but does meet at least one of the following criteria 1. requiring medical intervention by a healthcare professional. 2. leading to hospitalization or increased level of care. 3. prompting a face to face (i.e. not just a telephone or electronic communication) evaluation.
| Arm | Type | Description |
|---|---|---|
| BAY 2433334 high dose | EXPERIMENTAL | - |
| BAY 2433334 medium dose | EXPERIMENTAL | - |
| BAY 2433334 low dose | EXPERIMENTAL | - |
| BAY2433334 matching placebo | PLACEBO_COMPARATOR | - |
| BAY2433334 high dose | EXPERIMENTAL | - |
| BAY2433334 medium dose | EXPERIMENTAL | - |
| BAY2433334 low dose | EXPERIMENTAL | - |
| BAY2433334 50mg+Apixaban matching placebo | EXPERIMENTAL | - |
| BAY2433334 20mg+Apixaban matching placebo | EXPERIMENTAL | - |
| BAY2433334 matching placebo+Apixaban | ACTIVE_COMPARATOR | Apixaban usual dose is 5 mg, reduced to 2.5 mg for participants with any 2 of the following criteria: age 80 years or older, body weight less than 60 kg, or serum creatinine level of 1.5 mg per dL or more. |
| Name | Type | Description |
|---|---|---|
| BAY2433334 | DRUG | Tablet, taken orally once a day. |
| BAY2433334 matching placebo | OTHER | Tablet, taken orally once a day. |
| Apixaban | DRUG | Capsule, taken orally twice a day. |
| Apixaban matching placebo | OTHER | Capsule, taken orally twice a day. |
Inclusion Criteria: * Participants must be 45 years of age or older, at the time of signing the informed consent * Acute myocardial infarction (excluding MI associated with PCI or CABG revascularization procedures) with: * clinical symptoms of acute myocardial infarction AND * elevated biomark...
BAY2433334 is an investigational oral small molecule being studied for cardiovascular conditions including atrial fibrillation, acute non-cardioembolic ischemic stroke, and acute myocardial infarction. It is a Factor XIa inhibitor under development by Bayer AG. The drug is currently in Phase 2 clinical trials and is not yet approved for any use.
BAY2433334 targets Factor XIa, a protein involved in blood clotting. By inhibiting Factor XIa, the drug aims to reduce thrombus formation while potentially lowering bleeding risk compared to other anticoagulants. This mechanism is being evaluated in patients with atrial fibrillation, recent ischemic stroke, and acute myocardial infarction.
BAY2433334 is being developed by Bayer AG, a German pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting Phase 2 clinical trials to evaluate the drug's safety and proper dosing in cardiovascular indications.
BAY2433334 is in Phase 2 clinical development. All three completed Phase 2 trials have finished, and the drug remains investigational. It has not received FDA approval and is not yet available commercially. Further studies would be needed to advance it to later stages.
BAY2433334 has been studied in three completed Phase 2 trials: NCT04218266 in atrial fibrillation with 755 participants, NCT04304508 in acute non-cardioembolic ischemic stroke with 1808 participants, and NCT04304534 in acute myocardial infarction with 1601 participants. All were randomized, double-blind, placebo-controlled studies.
Yes, BAY2433334 and BAY 2433334 refer to the same investigational drug. The name is written with or without a space in clinical trial registries and publications. It is an oral Factor XIa inhibitor being developed by Bayer AG for cardiovascular indications.