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BMS-986142

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment536
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02638948Efficacy and Safety Study of BMS-986142 in Patients With Moderate to Severe Rheumatoid ArthritisPHASE2 COMPLETED 508Feb 16, 2016May 3, 2018May 28, 2019104 United States, Argentina +15
NCT02762123A Study to Assess the Effect of BMS-986142 on Pharmacokinetics (PK) of Probe SubstratesPHASE1 COMPLETED 28May 1, 2016Aug 1, 2016Sep 16, 20161 United States
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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

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
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 — 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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