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Cyclosporin A

Phase 3

Renal Transplantation | Small molecule | Nephrology |Bristol-Myers Squibb Company|Last Updated: Jul 7, 2017

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
RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment595
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00114777Study of Belatacept in Subjects Who Are Undergoing a Renal TransplantPHASE3 COMPLETED 595Feb 1, 2005Sep 1, 2014Jul 7, 201779 United States, Argentina +17
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Study Endpoints
Primary Endpoints
Percentage of Participants Who Survived With a Graft at 12 Months Post-Transplant
Month 12 post-transplant

Participant and graft survival at 12 months was summarized within each treatment group. Graft loss was defined as either functional loss or physical loss (nephrectomy). Functional loss was defined as a sustained level of serum creatinine ≥ 6.0 mg/dL (530 μmol/L) as determined by central laboratory for ≥4 weeks or 56 or more consecutive days of dialysis.

Percentage of Participants With a Measured Glomerular Filtration Rate (GFR) <60 mL/Min Per 1.73 m^2 at Month 12 or a Decrease in Measured GFR >=10 mL/Min Per 1.73 m^2 From Month 3 to Month 12
From Month 3 to Month 12

GFR was assessed using a true measure of glomerular filtration via non-radiolabeled iothalamate clearance test using a validated procedure.

Secondary Endpoints
Measured Glomerular Filtration Rate (GFR) by Month 12 and 24
At Month 12 and Month 24
Percentage of Participants With Chronic Allograft Nephropathy (CAN) at Month 12
At Month 12
Percentage of Participants Who Survived With a Graft at 24 and 36 Months Post-Transplant
Month 24 and Month 36 post-transplant
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cyclosporin AACTIVE_COMPARATOR -
Belatacept Less Intensive Regimen (LI)EXPERIMENTAL -
Belatacept More Intensive Regimen (MI)EXPERIMENTAL -
Interventions
NameTypeDescription
Cyclosporin ADRUGtablet, oral, 1st month target: 150-300 ng/mL, after 1st month target: 100-250 ng/mL, daily, 36 months, 100-250 ng/mL, daily, 84 months
Belatacept Less Intensive Regimen (LI)DRUGsolution, IV, 10mg/kg: Days 1 and 5, Weeks 2, 4, 8 and 12, then 5 mg/kg every 4 weeks, q 4 weeks, 36 months months, 5 mg/kg every 4 weeks, q 4 weeks, 84 months
Belatacept More Intensive Regimen (MI)DRUGsolution, IV, 10mg/kg: Days 1 and 5, Weeks 2, 4, 6, 8, 10,12, 16, 20, and 24, then 5 mg/kg every 4 weeks, q 4 weeks, 36 months, 5 mg/kg every 4 weeks, q 4 weeks, 84 months
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites79

Inclusion Criteria: * Subject is a first-time recipient of a kidney transplant from a deceased donor. * Specific donor criteria Exclusion Criteria: * Donor age \<10 years * Subjects receiving a concurrent solid organ or cell transplant (lung, heart, etc.) * Subjects with a positive T-cell lymphoc...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileCzechiaFranceGermanyHungaryItalyNorwayPolandSouth AfricaSpainSwedenUnited Kingdom
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