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Sotatercept

Phase 2

Anemia | Monoclonal antibody | Hematology |Bristol-Myers Squibb Company|Last Updated: Jun 24, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials2
Total Enrollment100

FDA Designations

No designations recorded

Clinical trial landscape

Sotatercept · 2 trials · 2 indications

Phase 2 2
NCT01999582A Phase 2 Study of Intravenous or Subcutaneous Dosing of Sotatercept (ACE-011) in Patients With End-Stage Kidney Disease on HemodialysisAnemia
COMPLETED50 Analytics
NCT01146574A Phase 2a Study To Evaluate The Pharmacokinetics, Safety, Efficacy, Tolerability, And Pharmacodynamics of Sotatercept (ACE-011) for the Correction of Anemia in Subjects With End-stage Renal Disease on Hemodialysis.Anemia
COMPLETED50 Analytics
PHASE2COMPLETED
A Phase 2 Study of Intravenous or Subcutaneous Dosing of Sotatercept (ACE-011) in Patients With End-Stage Kidney Disease on Hemodialysis
AnemiaUnlock trial analytics
PHASE2COMPLETED
A Phase 2a Study To Evaluate The Pharmacokinetics, Safety, Efficacy, Tolerability, And Pharmacodynamics of Sotatercept (ACE-011) for the Correction of Anemia in Subjects With End-stage Renal Disease on Hemodialysis.
AnemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Serum Concentration-Time Curve Over Dosing Interval (AUC14d) (14 Days)
Doses 1-2: predose and postdose at 5 min (IV only) 4 hours, 3, and 7 days after each dose; Doses 3-7: predose, and postdose at 5 min after IV injection after each dose; Final dose: predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14 days after dose

Area Under the plasma concentration-time curve over 14-day dosing interval (AUC14) for Sotatercept., The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Area Under the Serum Concentration- Time Curve Over From Day 1 to Day 28 (AUC28d)
Doses 1-2: predose and postdose at 5 min (IV only) 4 hours, 3, and 7 days after each dose; Doses 3-7: predose, and postdose at 5 min after IV injection after each dose; Final dose: predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14 days after dose

Area under the plasma concentration-time curve over 28-day dosing interval (AUC28d). All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Maximum Observed Serum Concentration Obtained From the First Dose (Cmax14d)
Doses 1-2: predose and postdose at 5 min (IV only) 4 hours, 3, and 7 days after each dose; Doses 3-7: predose, and postdose at 5 min after IV injection after each dose; Final dose: predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14 days after dose

Maximum observed serum concentration (Cmax14d) of sotatercept, obtained directly from the observed concentration-time data. The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Maximum Observed Serum Concentration (Cmax28d) Obtained From the Combined First 2 Doses
Doses 1-2: predose and postdose at 5 min (IV only) 4 hours, 3, and 7 days after each dose; Doses 3-7: predose, and postdose at 5 min after IV injection after each dose; Final dose: predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14 days after dose

Maximum observed serum concentration (Cmax28d) of sotatercept, obtained directly from the observed concentration-time data combining the profiles following the first two doses. The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Time to Reach Maximum Observed Serum Concentration (Tmax)
Doses 1-2: pre- and postdose at 5 min (IV only) 4 hrs, 3, and 7 days after each dose; Doses 3-7: pre-, and postdose at 5 min after IV injection after each dose; Final dose: pre- and postdose at 5 min (IV only), 4 hrs, 3, 7, 14, 28, 56, 84, and 112 days

Time to maximum serum concentration (Tmax) of sotatercept, obtained directly from the observed concentration-time data. The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Estimate of Terminal Elimination Half-Life in Serum at Final Dose Only (t1/2)
Predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14, 28, 56, 84, and 112 days after the final dose.

Terminal elimination half-life (T1/2). The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analyses of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Lambda (ʎz): Apparent Terminal Rate Constant (at Final Dose Only)
Predose and postdose at 5 min (IV only) 4 hours, 3, 7, 14, 28, 56, 84, and 112 days after the final dose

Lambda, apparent terminal rate constant (final dose only). The PK population included all participants in the safety population with at least one non-missing plasma concentration data. All analysis of PK data were based on the PK population and participants were analyzed according to the treatment group to which they were randomized.

Observed Maximum Concentration (Cmax)
From first dose up to Day 28

Cmax is a pharmacokinetic parameter defined as the observed maximum concentration of the study drug in the serum and/or blood. Cmax will be estimated from the sotatercept concentration versus time data using noncompartmental method.

Time to Maximum Concentration (Tmax)
From first dose up to Day 28

Time to observed maximum concentration (Tmax) is defined as the amount of time in days for a drug to reach the maximum concentration after administration.

Area Under Curve (AUC)-28 Days
From first dose up to Day 28

AUC-28 days is defined as area under the concentration-time curve over the first 28-day dosing interval

AUCinf: Area Under the Concentration-time Curve From Time Zero Extrapolated to Infinity
From first dose up to Day 28

Area under the concentration-time curve from time zero extrapolated to infinity. Only Part 1 pharmacokinetic evaluable participants were pre-specified to be evaluated in this endpoint.

Apparent Total Clearance (CL/F)
From first dose up to Day 28

Apparent Total Clearance (CL/F) is defined as the volume of plasma from which the study drug is completely removed per unit of time. It is equal to the drug dose divided by the area-under-the-curve.

Apparent Volume of Distribution Based on Terminal Phase (Vz/F)
From first dose up to Day 28

Apparent volume of distribution based on terminal phase (Vz/F) is defined as the apparent volume in which the current amount of drug in the body must be dispersed in order to give the current plasma concentration. Apparent volume of distribution is important for determining the dose required to produce a desired plasma concentration of the drug.

Terminal Half-Life (t1/2,z)
Days 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 15, 22, 29, 43, 57, 85 and 113

Terminal plasma half-life (t1/2,z) is the time taken for concentration of the study drug to decrease from its maximum concentration (Cmax) to half of Cmax in the blood plasma.

Secondary Endpoints

Percentage of Participants With Mean Hemoglobin ≥ 100 g/L to ≤ 120 g/L Without Rescue Medication
Visit 14 to Visit 17 (days 99 to 113)
Change From Baseline in Mean Hemoglobin Concentration for Visit 14 to 17 (All Participants Regardless of Rescue)
Baseline and Visit 14 to Visit 17 (days 99 to 113)
Change From Baseline in Mean Hemoglobin Concentration for Visit 14 to 17 (Participants Not Rescued Prior to Day 115)
Baseline and Visit 14 to Visit 17 (days 99 to 113)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Intravenous Dose Group 1, 2, and 3EXPERIMENTALIntravenous Dose Group 1 starting at 0.1 mg/kg and escalated in Dose Groups 2 (0.2 mg/kg) and Dose Group 3 (0.1, 0.2, 0.3, 0.4 mg/kg, titrated based on titration rules, administered every 14 days)
Subcutaneous Dose Group 1, 2, and 3EXPERIMENTALSubcutaneous Dose Group 1 starting at 0.13 mg/kg and escalated in Dose Groups 2 (0.26 mg/kg) and Dose Group 3 (0.4 to 0.5 mg/kg, titrated based on titration rules, administered every14 days)
0.1mg/kg SotaterceptEXPERIMENTALApproximately 8 subjects will be randomized to receive either a single 0.1 mg/kg subcutaneous dose of sotatercept or matching placebo in a 3:1 ratio
0.3mg/kg SotaterceptEXPERIMENTALDose Group 1: 0.3 mg/kg sotatercept subcutaneous every 28 days
0.5mg/kg SotaterceptEXPERIMENTALDose Group 2: 0.5 mg/kg sotatercept subcutaneous every 28 days
0.7mg/kg SotaterceptEXPERIMENTALDose Group 3: 0.7 mg/kg sotatercept subcutaneous every 28 days
PlaceboPLACEBO_COMPARATORThe Placebo to Sotatercept ratio is 1:3 meaning for every 1 patient that receives Placebo, 3 patients will receive Sotatercept.

Interventions

NameTypeDescription
SotaterceptBIOLOGICALSotatercept is dosed intravenously every 14 days. The dose a subject receives will depend on the randomization arm and the dose group.
PlaceboBIOLOGICALPlacebo
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: 1. Males or females ≥ 18 years of age. 2. Subjects on at least 6 hours of hemodialysis per week, for at least 12 weeks before screening 3. Subjects must be on a stable intravenous or subcutaneous dose of Erythropoietin Stimulating Agents (excluding methoxy polyethylene glycol-ep...

Countries:BelgiumGermanyPortugalSpainUnited KingdomUnited States
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Frequently asked questions about Sotatercept

What is Sotatercept used for?

Sotatercept is an investigational monoclonal antibody being studied for the treatment of anemia in patients with end-stage renal disease on hemodialysis. It is in Phase 2 clinical development and has not been approved by the FDA.

Who makes Sotatercept?

Sotatercept is being developed by Bristol-Myers Squibb Company, which trades on the New York Stock Exchange under the ticker symbol BMY.

What phase is Sotatercept in?

Sotatercept is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA for any use.

What clinical trials is Sotatercept in?

Sotatercept has completed two Phase 2 clinical trials. One trial, NCT01146574, evaluated the drug in 50 patients with anemia and end-stage renal disease on hemodialysis in the United States. The other trial, NCT01999582, studied 50 patients with anemia and chronic kidney failure on hemodialysis in Belgium, Germany, Portugal, Spain, and the United Kingdom.

Is Sotatercept the same as ACE-011?

Yes, Sotatercept is also known as ACE-011. Both names refer to the same investigational monoclonal antibody being developed by Bristol-Myers Squibb for anemia in patients with end-stage renal disease on hemodialysis.