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Macimorelin

Phase 3

Growth Hormone Deficiency With Pituitary Anomalies | Small molecule | Endocrine |COSCIENS Biopharma Inc.|Last Updated: Apr 10, 2018

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
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment157
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02558829Validation of Macimorelin as a Test for Adult Growth Hormone DeficiencyPHASE3 COMPLETED 157Dec 3, 2015Nov 29, 2016Apr 10, 201827 United States, Austria +7
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Study Endpoints
Primary Endpoints
Co-primary Efficacy Variables: Percent Positive and Percent Negative Agreement of Macimorelin-GHST (MAC) With ITT
90 minutes

In the primary efficacy analysis, the estimated percentages of the agreements and the two-sided 95% confidence interval (or one-sided 97.5% confidence interval) of the percent agreement based on Clopper-Pearson are presented. The probability for a "Negative Agreement" equals the sum of the probability of both tests being correct (negative test results for both tests for subjects with "true non-AGHD") and the probability of both tests being wrong (negative test results for both tests for subjects with "true AGHD"). The performance of the GHST with Macimorelin was considered to be acceptable if the lower bound of the two-sided 95% confidence interval (or lower bound of the one-sided 97.5% confidence interval) for the primary efficacy variables was 75% or higher for 'percent negative agreement', and 70% or higher for the 'percent positive agreement'. The following cut-off values for stimulated GH levels were used: - MAC: GH: 2.8 ng/mL, - ITT: GH: 5.1 ng/mL.

Secondary Endpoints
Overall Agreements (Positive/ Negative) for MAC and ITT
90 minutes
Number of Participants With Any Test Emergent Adverse Event (TEAE), With Any TEAE Likely or Possibly Related, and With Any Test Emergent Severe AE
up to 70 days
ECG: Change in Heart Rate From Baseline at 60 Minutes Post-dose
60 minutes
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeDIAGNOSTIC
Treatment Arms
ArmTypeDescription
GHST Sequence AEXPERIMENTAL1st Macimorelin-GHST, 2nd Insulin Tolerance Test
GHST Sequence BEXPERIMENTAL1st Insulin Tolerance Test, 2nd Macimorelin-GHST
Interventions
NameTypeDescription
MacimorelinDRUGmacimorelin acetate, 0.5 mg/kg body weight, drinking solution, single dose
InsulinDRUGInsulin, 0.10 U/kg (0.15 U/kg if BMI \> 30 kg/m2), intravenous injection, single dose
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites27

Inclusion Criteria: * Suspected growth hormone deficiency (GHD), based on either of the following: * structural hypothalamic or pituitary disease, or * surgery or irradiation in these areas, or * head trauma as an adult, or * evidence of other pituitary hormone deficiencies, or * idiopat...

Countries:United StatesAustriaFranceGermanyItalyPolandSerbiaSpainUnited Kingdom
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