Recent Updates
Recently added Catalysts

BCX7353

Phase 3

Hereditary Angioedema | Small molecule | Other |BioCryst Pharmaceuticals, Inc.|Last Updated: Jun 26, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment728
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03485911Efficacy and Safety Study of BCX7353 as an Oral Treatment for the Prevention of Attacks in HAEPHASE3 COMPLETED 121Feb 6, 2018Apr 6, 2022Jun 26, 202347 United States, Austria +9
NCT03472040A Long Term Safety Study of BCX7353 in Hereditary AngioedemaPHASE2 COMPLETED 387Feb 16, 2018Apr 27, 2022Jun 18, 202387 United States, Australia +18
NCT03202784A Relative Bioavailability Study of Two Formulations of BCX7353PHASE1 COMPLETED 24Feb 27, 2017Sep 30, 2017Jan 27, 20201 United Kingdom
NCT03136237A Drug-Drug Interaction Study to Evaluate Drug Transporter InteractionsPHASE1 COMPLETED 54Feb 17, 2017Aug 15, 2017Oct 26, 20171 United Kingdom
NCT02819102An Open-label Drug-Drug Interaction Study to Evaluate the Effect of BCX7353 on Cytochrome P450 Enzyme Activity Using Probe SubstratesPHASE1 COMPLETED 20Mar 1, 2016Jun 1, 2016Jan 31, 20171 United Kingdom
NCT02448264First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BCX7353 in Healthy Western and Japanese VolunteersPHASE1 COMPLETED 122May 1, 2015Dec 1, 2015Jan 13, 20161 United Kingdom
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Part 1: The Rate of Investigator-confirmed HAE Attacks During Dosing in the Entire 24-week Treatment Period (Day 1 to Day 168)
24 weeks

Treatment comparisons between each berotralstat dose and placebo in the rate of investigator-confirmed HAE attacks during the Part 1 dosing period were analyzed using a negative binomial model. The number of investigator-confirmed attacks was included as the dependent variable, the treatment was included as a fixed effect, the stratification variable (baseline attack rate) was included as a covariate, and the logarithm of duration on treatment was included as an offset variable. The estimated attack rate for each treatment group, the treatment differences expressed as the attack rate ratio (berotralstat over placebo rate ratio), and the associated 95% confidence intervals (CIs) were provided from the negative binomial model.

Part 2 & 3: To Evaluate the Long-term Safety and Tolerability of Berotralstat 110 and 150 mg in Subjects With HAE
Part 2: 24 weeks (Days 169 to 337). Part 3: 48 weeks (Days 338 to 674).

The safety data was assessed for the safety population, for subjects who entered Part 2 and Part 3, and includes TEAEs that began in Part 2 or 3, respectively, for these subjects. Safety data for Part 2 and Part 3 is combined to clearly show TEAEs occurring in subjects as the proceeded through the 2 study parts. TEAEs are defined as AEs that occurred on or after first dose of study treatment, whether in Part 1 or 2, and were assigned to the relevant treatment depending on when the TEAE began (Part 2 or Part 3 treatment). No statistical analysis was performed on this safety data.

Safety & Tolerability
Up to 96 weeks (US) / 216 weeks (Rest of World (ROW)).

The number and percentage of subjects with treatment-emergent adverse events.

Geometric least-squares mean ratio for Cmax for test (blend in capsule) versus reference formulation (API in capsule)
plasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Geometric least-squares mean ratio for AUClast for test (blend in capsule) versus reference formulation (API in capsule)
plasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Geometric least-squares mean ratio for AUCinf for test (blend in capsule) versus reference formulation (API in capsule)
plasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Geometric least-squares mean ratio for Cmax for test (blend in capsule fed) versus reference formulation (blend in capsule fasted)
lasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Geometric least-squares mean ratio for AUClast for test (blend in capsule fed) versus reference formulation (blend in capsule fasted)
lasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Geometric least-squares mean ratio for AUCinf for test (blend in capsule fed) versus reference formulation (blend in capsule fasted)
lasma pharmacokinetic parameters are based on blood sampling over a 72 hour period
Cmax of probe substrate
plasma pharmacokinetic parameters are based on blood sampling over a 48 - 72 hour period
AUClast of probe substrate
plasma pharmacokinetic parameters are based on blood sampling over a 48 - 72 hour period
AUCinf of probe substrate
plasma pharmacokinetic parameters are based on blood sampling over a 48 - 72 hour period
Cmax of probe substrates
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
Tmax of probe substrates
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
AUClast of probe substrates
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
AUCinf of probe substrates
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
t1/2 of probe substrates
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
Cl of intravenous midazolam
plasma pharmacokinetic parameters are based on blood sampling through 24 hours on Day 1, 2, 10 and 11
Adverse events
Part 1 and Part 3 single dose cohort: absolute and change from baseline through Study Day 7; Part 2 and Part 3 multiple dose cohort: absolute and change from baseline through 14 or 21 days (depending on dosing duration)
Laboratory analyses
Part 1 and Part 3 single dose cohort: absolute and change from baseline through Study Day 7; Part 2 and Part 3 multiple dose cohort: absolute and change from baseline through 14 or 21 days (depending on dosing duration)
Vital signs
Part 1 and Part 3 single dose cohort: absolute and change from baseline through Study Day 7; Part 2 and Part 3 multiple dose cohort: absolute and change from baseline through 14 or 21 days (depending on dosing duration)
Electrocardiograms
Part 1 and Part 3 single dose cohort: absolute and change from baseline through Study Day 7; Part 2 and Part 3 multiple dose cohort: absolute and change from baseline through 14 or 21 days (depending on dosing duration)
Physical examination findings
Part 1 and Part 3 single dose cohort: absolute and change from baseline through Study Day 7; Part 2 and Part 3 multiple dose cohort: absolute and change from baseline through 14 or 21 days (depending on dosing duration)
Secondary Endpoints
Part 1: Change From Baseline in Angioedema Quality of Life Questionnaire at Week 24 (Total Score)
Baseline and 24 weeks
Part 1: Proportion of Days With Angioedema Symptoms Through 24 Weeks
24 weeks
Part 1: Rate of Expert-confirmed Angioedema Events During Dosing in the Effective Treatment Period
Day 8 through to 24 weeks (or or the last dose date/time in Part 1 + 24 hours for subjects who discontinued drug in Part 1)
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
BCX7353 110 mg once dailyEXPERIMENTALBCX7353 administered as oral capsules once daily
BCX7353 150 mg once dailyEXPERIMENTALBCX7353 administered as oral capsules once daily
PlaceboPLACEBO_COMPARATORMatching placebo administered as oral capsules once daily
BCX7353 API in capsuleEXPERIMENTALfasted administration of BCX7353 API in capsule
BCX7353 blend in capsuleEXPERIMENTALfasted administration of BCX7353 blend in capsule
BCX7353 blend in capsule with foodEXPERIMENTALadministration of BCX7353 blend in capsule following high-fat meal
Cohort 1EXPERIMENTALDay 1: Digoxin 0.25 mg oral dose Day 11-18: BCX7353 350 mg oral dose Day 19: Digoxin 0.25 mg oral dose and BCX7353 350 mg oral dose Day 20-21: BCX7353 350 mg oral dose
Cohort 2EXPERIMENTALDay 1: Rosuvastatin 10 mg oral dose Day 7-14: BCX7353 350 mg oral dose Day 15: Rosuvastatin 10 mg oral dose and BCX7353 350 mg oral dose Day 16: BCX7353 350 mg oral dose
Cohort 3EXPERIMENTALDay 1: BCX7353 350 mg oral dose Day 14: single oral dose of Cyclosporine 600 mg and BCX7353 350 mg
Metabolic Probes and BCX7353EXPERIMENTALDay 1: 1 mg midazolam will be administered as an IV bolus simultaneously to administration of 500 mg tolbutamide, 40 mg omeprazole, and 30 mg dextromethorphan orally. Day 2: a single oral dose of 2 mg midazolam. Days 3 to 9: 350 mg BCX7353 once a day. Day 10: 1 mg midazolam will be administered as an IV bolus simultaneously to administration of 500 mg tolbutamide, 40 mg omeprazole, 30 mg dextromethorphan and 350 mg BCX7353, orally. Day 11: a single oral dose of 2 mg of midazolam along with 350 mg BCX7353.
BCX7353EXPERIMENTALBCX7353 capsules administered orally
Interventions
NameTypeDescription
BCX7353 capsulesDRUGBCX7353 oral capsules administered once daily
Placebo oral capsuleDRUGMatching oral capsules administered once daily
BCX7353DRUGBCX7353 mg oral capsules administered once daily
DigoxinDRUGDay 1 of Cohort 1
BCX7353 + digoxinDRUGDay 19 of Cohort 1
RosuvastatinDRUGDay 1 of Cohort 2
rosuvastatin + BCX7353DRUGDay 15 of Cohort 1
Cyclosporine + BCX7353DRUGDay 14 of Cohort 3
BCX7353 and probesDRUG -
Placebo to match BCX7353DRUG -
Unlock Study Design Details
Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites47

Key Inclusion Criteria: * A clinical diagnosis of hereditary angioedema Type 1 or Type 2, defined as having a C1-INH functional level and a C4 level below the lower limit of the normal (LLN) reference range, as assessed during the Screening period. * Subject weight of ≥ 40 kg * Access to and abilit...

Countries:United StatesAustriaCanadaCzechiaFranceGermanyHungaryNorth MacedoniaRomaniaSpainUnited KingdomAustraliaDenmarkHong KongIsraelItalyNew ZealandPolandSerbiaSlovakiaSouth AfricaSouth KoreaSwitzerland
Unlock Eligibility Criteria