Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as BMS-986177 Oral Solution
BMS-986177 · 11 trials · 7 indications
Model based assessment estimate for composite event is a customized statistical analysis called MCP-MOD (Multiple Comparison Procedures, MODel) estimation, which is used to check for dose-response relationship. 95% confidence interval (CI) for composite event based on bootstrap (10000 samples).
Cmax
AUC(INF)
AUC(0-T)
Tmax
T-HALF
Vz/F
AUC(BMS-986177)
AUC(TRA)
Plasma AUC(TRA)
Blood AUC(TRA)
CLR
%UR
%FE
%BE (if applicable)
%Total recovery
Measured by plasma concentration
Measured by plasma concentration
Measured by plasma concentration
Summary measures of PK parameters
Summary measures of PK parameters
Measured by investigator assessment
Measured by investigator assessment
Measured by investigator assessment
Measured by investigator assessment
Measured by investigator assessment
Measured by investigator assessment
Safety and tolerability of single oral doses of BMS-986177 in patients with end-stage renal disease (ESRD) on chronic hemodialysis (HD) treatment as measured by the number of participants with adverse events (AEs), serious AEs (SAEs), AEs leading to discontinuation and death
HEMATOLOGY I; HEMOGLOBIN HB G/DL LOW \< 0.85\*PRE-RX; HEMATOCRIT HCT % LOW \< 0.85\*PRE-RX; PLATELET COUNT PLAT X10\*9 C/L LOW \< 0.85\*LLN IF PRE-RX IS MISSING; \< 0.85\*LLN IF PRE-RX \>= LLN; \< 0.85\*PRE-RX IF PRE-RX \< LLN; HIGH \> 1.5\*ULN; HEMATOLOGY II; LEUKOCYTES WBC X10\*3 C/UL LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF LLN \<= PRE-RX \<= ULN; \< 0.85\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.2\*ULN IF PRE-RX IS MISSING; \> 1.2\*ULN IF LLN \<= PRE-RX \<= ULN; \> 1.5\*PRE-RX IF PRE-RX \> ULN; NEUTROPHILS (ABSOLUTE) NEUTA X10\*3 C/UL LOW \< 1.5 IF PRE-RX IS MISSING; \< 1.5 IF PRE-RX \>= 1.5; \< 0.85\*PRE-RX IF; PRE-RX \< 1.5; LYMPHOCYTES (ABSOLUTE) LYMPA X10\*3 C/UL LOW \< 0.75; HIGH \> 7.5; MONOCYTES (ABSOLUTE) MONOA X10\*3 C/UL HIGH \> 2; BASOPHILS (ABSOLUTE) BASOA X10\*3 C/UL HIGH \> 0.4; EOSINOPHILS (ABSOLUTE) EOSA X10\*3 C/UL HIGH \> 0.75; COAGULATION: PROTHROMBIN TIME (PT) PT SEC HIGH \> 1.5\*ULN; APTT APTT SEC HIGH \> 1.5\*ULN; INTL NORMALIZED RATIO (INR) INR FRACTION HIGH \> 1.5\*ULN;
LIVER \& KIDNEY FUNCTION; ALKALINE PHOSPHATASE (ALP) ALP U/L HIGH \> 1.25\*ULN IF PRE-RX IS MISSING; \> 1.25\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; ASPARTATE AMINOTRANSFERASE (AST) AST U/L HIGH \> 1.25\*ULN IF PRE-RX IS MISSING; \> 1.25\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; ALANINE AMINOTRANSFERASE (ALT) ALT U/L HIGH \> 1.25\*ULN IF PRE-RX IS MISSING; \> 1.25\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; BILIRUBIN, TOTAL TBILI MG/DL HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; BILIRUBIN, DIRECT DBILI MG/DL HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; BLOOD UREA NITROGEN BUN MG/DL HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.2\*PRE-RX IF PRE-RX \> ULN; CREATININE CREAT MG/DL HIGH \> 1.5\*ULN IF PRE-RX IS MISSING; \> 1.5\*ULN IF PRE-RX \<= ULN; \> 1.33\*PRE-RX IF PRE-RX \> ULN;
ELECTROLYTES: SODIUM, SERUM NA MEQ/L LOW \< 0.95\*LLN IF PRE-RX IS MISSING; \< 0.95\*LLN IF PRE-RX \>= LLN; \< 0.95\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.05\*ULN IF PRE-RX IS MISSING; \> 1.05\*ULN IF PRE-RX \<= ULN; \> 1.05\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; POTASSIUM, SERUM K MEQ/L LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.1\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; CHLORIDE, SERUM CL MEQ/L LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.1\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN;
ELECTROLYTES (CONT.): CALCIUM, TOTAL CA MG/DL LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.1\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; PHOSPHORUS, INORGANIC PHOS MG/DL LOW \< 0.85\*LLN IF PRE-RX IS MISSING; \< 0.85\*LLN IF PRE-RX \>= LLN; \< 0.85\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.25\*ULN IF PRE-RX IS MISSING; \> 1.25\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; MAGNESIUM, SERUM MG MEQ/L LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.1\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN
GLUCOSE, FASTING SERUM GLUCF MG/DL LOW \< 0.8\*LLN IF PRE-RX IS MISSING; \< 0.8\*LLN IF PRE-RX \>= LLN; \< 0.8\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN; HIGH \> 1.3\*ULN IF PRE-RX IS MISSING \> 1.3\*ULN IF PRE-RX \<= ULN; \> 2\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; PROTEIN, TOTAL TPRO G/DL LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; \< LLN IF PRE-RX \> ULN HIGH \> 1.1\*ULN IF PRE-RX IS MISSING; \> 1.1\*ULN IF PRE-RX \<= ULN; \> 1.1\*PRE-RX IF PRE-RX \> ULN; \> ULN IF PRE-RX \< LLN; ALBUMIN ALB G/DL LOW \< 0.9\*LLN IF PRE-RX IS MISSING; \< 0.9\*LLN IF PRE-RX \>= LLN; \< 0.9\*PRE-RX IF PRE-RX \< LLN; CREATINE KINASE (CK) CK U/L HIGH \> 1.5\*ULN IF PRE-RX IS MISSING; \> 1.5\*ULN IF PRE-RX \<= ULN; \> 1.5\*PRE-RX IF PRE-RX \> ULN; URIC ACID URIC MG/DL HIGH \> 1.2\*ULN IF PRE-RX IS MISSING; \> 1.2\*ULN IF PRE-RX \<= ULN; \> 1.25\*PRE-RX IF PRE-RX \> ULN; LACTATE DEHYDR (LD) LD U/L HIGH \> 1.25\*ULN IF PRE-RX IS MISSING; \> 1.25\*ULN IF PRE-RX \<= ULN; \> 1.5\*PRE-RX IF PRE-RX \> ULN
URINALYSIS I; BLOOD, URINE UBLD N/A HIGH \>= 2 IF PRE-RX IS MISSING; \>= 2 IF PRE-RX \< 1; \>= 2 IF PRE-RX \>= 1 SPECIAL STUDIES; OCCULT BLOOD SCREEN, FECES OCBLD N/A HIGH NEGATIVE PRE-RX CHANGING TO POSITIVE
Baseline = Last non-missing result with a collection date-time less than the date-time of the first active dose of study medication.
Baseline = Last non-missing result with a collection date-time less than the date-time of the first active dose of study medication.
Baseline = Last non-missing result with a collection date-time less than the date-time of the first active dose of study medication.
Baseline = Last non-missing result with a collection date-time less than the date-time of the first active dose of study medication.
QTcF = QT corrected for heart rate using the Fridericia formula Baseline = Last non-missing result with a collection date-time less than the date-time of the first active dose of study medication.
Adverse event (AE), Serious adverse event (SAE)
| Arm | Type | Description |
|---|---|---|
| BMS-986177 Placebo | PLACEBO_COMPARATOR | Specified Dose on Specified Days |
| Dose 1: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 2: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 3: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 4: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 5: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 6: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Dose 7: BMS-986177 + Aspirin + Clopidogrel | EXPERIMENTAL | Specified Dose on Specified Days |
| Non-Bile Collection | ACTIVE_COMPARATOR | On Day 1, all participants will receive a single oral solution dose of 200 mg \[14C\] BMS-986177 containing approximately 88 micro Ci of total radioactivity (TRA). Participants will remain in the clinical facility until at least Day 7 and will be discharged when release criteria are met or until Day 12 |
| Bile Collection | ACTIVE_COMPARATOR | On Day 1, all participants will receive a single oral solution dose of 200 mg \[14C\] BMS-986177 containing approximately 88 micro Ci of total radioactivity (TRA). Approximately 1 hour after study drug administration, an ND tube may be positioned in approximately 3 selected participants for collection of bile.Participants will remain in the clinical facility until at least Day 7 and will be discharged when release criteria are met or until Day 12 |
| Mild Hepatic Subjects | EXPERIMENTAL | Subjects are given a single dose of BMS-986177 |
| Moderate Hepatic Subjects | EXPERIMENTAL | Subjects are given a single dose of BMS-986177 |
| Healthy Match Subjects | EXPERIMENTAL | Subjects are given a single dose of BMS-986177 |
| Treatment A | EXPERIMENTAL | Receive 200 mg BMS-986177 Form A without food |
| Treatment B | EXPERIMENTAL | Receive 200 mg BMS-986177 Form B without food |
| Treatment C | EXPERIMENTAL | Receive 200 mg BMS-986177 Form B with food |
| Group A | EXPERIMENTAL | Normal Renal Function |
| Group B | EXPERIMENTAL | Moderate Renal Impairment |
| Group C | EXPERIMENTAL | Severe Renal Impairment |
| Dose Sequence 1 | ACTIVE_COMPARATOR | UFH, BMS-986177 - dose 1, BMS-986177 - dose 2, Enoxaparin |
| Dose Sequence 2 | ACTIVE_COMPARATOR | BMS-986177 - dose 1, Enoxaparin, UFH, BMS-986177 - dose 2 |
| Dose Sequence 3 | ACTIVE_COMPARATOR | BMS-986177 - dose 2, UFH, Enoxaparin, BMS-986177 - dose 1 |
| Dose Sequence 4 | ACTIVE_COMPARATOR | Enoxaparin, BMS-986177 - dose 2, BMS-986177 - dose 1, UFH |
| End Stage Renal Disease Subjects | EXPERIMENTAL | Subjects given a single oral dose of BMS-986177 before (Period 1) and after (Period 2) a hemodialysis session |
| BMS-986177 and Rifampin | EXPERIMENTAL | - |
| BMS-986177 and Itraconazole | EXPERIMENTAL | Single dose BMS-986177 on day 1 followed by Itraconazole and BMS-986177 on specified days |
| BMS-986177 and Diltiazem | EXPERIMENTAL | Single dose BMS-986177 on day 1 followed by Diltiazem ER and BMS-986177 on specified days |
| BMS-986177 | EXPERIMENTAL | BMS-986177 specified dose on specified days |
| Placebo | OTHER | Placebo specified dose on specified days |
| Name | Type | Description |
|---|---|---|
| BMS-986177 | DRUG | Oral administration |
| Placebo | OTHER | Oral Administration |
| Clopidogrel | DRUG | Oral administration |
| Aspirin | DRUG | Oral administration |
| Matched Placebo | OTHER | Oral Suspension |
| Enoxaparin | DRUG | Specified dose of Enoxaparin on specified days |
| unfractionated heparin (UFH) | DRUG | Specified dose of UFH on specified days |
| Rifampin | DRUG | Single dose of BMS-986177 and multiple doses of Rifampin |
| Itraconazole | DRUG | - |
| Diltiazem ER | DRUG | - |
Inclusion Criteria: * Male and Female ≥40 years of age * Acute Ischemic Stroke or Transient Ischemic Attack * Intracranial or Extracranial Atherosclerotic Plaque proximal to the affected brain area Exclusion Criteria: * Predicted inability to swallow study medication * Any condition that, in the ...
BMS-986177 is an investigational oral antithrombotic being studied for the prevention of stroke in patients with acute ischemic stroke or transient ischemic attack, and more broadly for thrombosis. It has been evaluated in a Phase 2 trial in patients receiving aspirin and clopidogrel, and in Phase 1 studies in healthy participants.
BMS-986177 is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker BMY. The company has sponsored the clinical program, including the Phase 2 stroke prevention study and several Phase 1 pharmacokinetic trials.
BMS-986177 is in Phase 2 development. Nine clinical trials have been completed, including one Phase 2 study and multiple Phase 1 studies, with no active trials currently listed. The Phase 2 trial enrolled 2,366 patients and evaluated the drug for stroke prevention.
BMS-986177 has been studied in completed trials including NCT03766581, a Phase 2 trial of stroke prevention in patients receiving aspirin and clopidogrel, and Phase 1 trials NCT03939702, NCT03362437, and NCT03224260. The Phase 1 studies evaluated pharmacokinetics, metabolism, and safety in healthy participants.
Yes, BMS-986177 Oral Solution is an alternative name for BMS-986177. Both refer to the same investigational small molecule developed by Bristol-Myers Squibb for antithrombotic use, including acute ischemic stroke and thrombosis.