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BMS-986142

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Bristol-Myers Squibb Company|Trials Updated: May 28, 2019

BMS-986142 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since Oct 2014

BMS-986142 target and mechanism

Molecular targetBTK
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment545

FDA Designations

No designations recorded

BMS-986142 clinical trials

BMS-986142 · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT02638948Efficacy and Safety Study of BMS-986142 in Patients With Moderate to Severe Rheumatoid ArthritisRheumatoid Arthritis
COMPLETED508 Analytics
PHASE2COMPLETED
Efficacy and Safety Study of BMS-986142 in Patients With Moderate to Severe Rheumatoid Arthritis
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response at Week 12
Week 12

ACR responses are assessed with a composite rating scale of the American College of Rheumatology that includes 7 variables: tender joint count (TJC); swollen joint count (SJC); levels of an acute phase reactant C-reactive Protein levels (CRP); participant's assessment of pain; participant's global assessment of disease activity; physician's global assessment of disease activity; participant's assessment of physical function by health assessment questionnaire disability index (HAQ-DI). ACR20 is defined as achieving at least 20% improvement in both TJC and SJC, and at least 20% improvement in at least 3 of the 5 other assessments of the ACR. Percentage of Participants achieving ACR20 = (number of participants with measure/event of interest)/(number of particpants in the analysis)\*100

Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response at Week 12
Week 12

ACR responses are assessed with a composite rating scale of the American College of Rheumatology that includes 7 variables: TJC; SJC; levels of an acute phase reactant (CRP level); participant's assessment of pain; participant's global assessment of disease activity; physician's global assessment of disease activity; participant's assessment of physical function by HAQ--DI. ACR70 is defined as achieving at least 70% improvement in both TJC and SJC, and at least 70% improvement in at least 3 of the 5 other assessments of the ACR. Percentage of Participants achieving ACR70 = (number of participants with measure/event of interest)/(number of particpants in the analysis)\*100

The primary endpoint is PK parameters that will be determined from plasma concentration versus time
Day 1 to Day 13
Urinary/fecal/bile (if applicable) TRA (Total radioactivity) recovery data
Day 1 to Day 13
Maximum observed plasma concentration (Cmax) of montelukast, flurbiprofen, omeprazole, midazolam, and digoxin.
57 samples up to day 26
Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC(0-T))of montelukast, flurbiprofen, omeprazole, midazolam, and digoxin
57 samples up to day 26
Area under the plasma concentration-time curve from time zero extrapolated to infinite time (AUC(INF)) of montelukast, flurbiprofen, omeprazole, midazolam, and digoxin
57 samples up to day 26

Secondary Endpoints

Percentage of Participants Achieving American College of Rheumatology 20% Response Over Time From Baseline to Week 12
Baseline, Day 15, Day 29, Day 57, Day 85
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response Over Time From Baseline to Week 12
Baseline, Day 15, Day 29, Day 57, Day 85
Percentage of Participants Achieving American College of Rheumatology 70% Response Over Time From Baseline to Week 12
Baseline, Day 15, Day 29, Day 57, Day 85
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo + Methotrexate dose as specified
Dose Level 1EXPERIMENTALBMS-986142 at dose level 1+ Methotrexate as specified
Dose Level 2EXPERIMENTALBMS-986142 at dose level 2 + Methotrexate as specified
Single dose of radiolabeled BMS-986142EXPERIMENTAL -
Cohort 1 (BMS-986142: 200 mg)EXPERIMENTAL200mg BMS-986142 administered orally once daily on specified days.
Cohort 2 (BMS-986142: 350 mg)EXPERIMENTAL350mg BMS-986142 administered orally once daily on specified days.

Interventions

NameTypeDescription
BMS-986142DRUGBMS986142 specific dose on specific days
PlaceboDRUGPlacebo of BMS-986142 specific dose on specific days
MethotrexateDRUGMethotrexate specific dose on specific days
BMS-986142 200mgDRUG -
BMS Drug-drug interaction cocktail (montelukast, flurbiprofen, omeprazole, midazolam, and digoxin)DRUG -
BMS-986142 350mgDRUG -
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Eligibility Criteria

Age Range18 Years to 120 Years
SexALL
Healthy VolunteersNo
Study Sites104

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Male and female age 18 and above * Diagnosed with active rheumatoid arthritis (RA) by standard criteria at least 16 weeks before screening, have functional ACR class I-III * ...

Countries:United StatesArgentinaAustriaBrazilCanadaFranceGermanyItalyJapanMexicoNetherlandsPolandRussiaSouth AfricaSouth KoreaSpainTaiwan
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Frequently asked questions about BMS-986142

What is BMS-986142 used for?

BMS-986142 is an investigational small molecule being studied for the treatment of arthritis, including rheumatoid arthritis. It has been evaluated in clinical trials in patients with moderate to severe rheumatoid arthritis. It is not approved for any indication and remains in clinical development.

What does BMS-986142 target?

BMS-986142 targets Bruton's tyrosine kinase (BTK). It is a BTK inhibitor. BTK is an enzyme involved in B cell receptor signaling, and inhibiting it is the intended mechanism of action for this investigational small molecule in inflammatory joint disease.

Who makes BMS-986142?

BMS-986142 is developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY. The company sponsors the clinical trials evaluating the drug in arthritis and rheumatoid arthritis.

What phase is BMS-986142 in?

BMS-986142 is in Phase 1 development according to its listed development stage, though a Phase 2 efficacy and safety study in rheumatoid arthritis has also been completed. It is an investigational drug and has not been approved by the FDA for any indication.

What clinical trials is BMS-986142 in?

BMS-986142 has been studied in completed trials including NCT02880670, a pharmacokinetics and metabolism study in healthy male subjects, NCT02762123, a drug interaction study with probe substrates, and NCT02638948, a Phase 2 efficacy and safety study in moderate to severe rheumatoid arthritis.