Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
BMS-663068 · 17 trials · 2 indications
Plasma samples were collected for analysis of HIV-1 RNA. Mean change in log10 HIV-1 RNA from Day 1 was estimated using analysis of covariance (ANCOVA) with log10 HIV-1 RNA change from Day 1 at Day 8 as dependent variable, treatment (fostemsavir or placebo) as an independent variable, and Day 1 log10 HIV-1 RNA as a continuous covariate. Change from Day 1 was calculated as value at Day 8 minus value at Day 1. The analysis was performed on Intent-to-Treat Exposed (ITT-E) Population which comprised of all randomized participants who received at least one dose of study treatment. Missing HIV-1 RNA values at Day 8 were imputed using (a) Day 1 Observation Carried Forward (D1OCF) for participants without a value during blinded treatment (i.e, imputing a zero change from Day 1) or (b) Last Observation Carried Forward (LOCF) for participants with an early value during blinded treatment before the Day 8 analysis visit window.
Percentage of participants with plasma HIV 1 RNA \< 50 c/mL at Week 24 using the Food and Drug Administration (FDA) snapshot algorithm was assessed to evaluate the antiviral activity. Treatment comparisons were not performed as this was an estimation study. Response rates were tabulated by treatment arm with exact Clopper-Pearson binomial 95 percentage confidence intervals (CI). Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the snapshot window of the visit of interest. Intent-To-Treat-Exposed (ITT-E) Population includes all randomized participants who received at least one dose of study treatment.
Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or suspected transmission of an infectious agent via the study drug were categorized as SAE. AEs leading to discontinuation of study therapy were also reported as safety assessment. Safety population included all participants who received at least one dose of study treatment. Summaries of SAEs and AEs leading to discontinuation or withdrawal through Week 24 included AEs with onset on or after the start of study treatment (i.e. study date of first study treatment intake) up to and including the end of the Week 24 visit snapshot window.
The primary assessment of the antiviral activity of BMS-663068 was assessed on the log10 change from Baseline in HIV RNA to Day 9. Baseline was the last non-missing observation before first dose (Day 1 pre-dose) and change from Baseline was calculated by subtracting Baseline value from post-Baseline visit value. An analysis of covariance (ANCOVA) model correcting for Baseline HIV viral load and treatment group was used to test the differences in mean log10 decrease in HIV RNA at Day 9 between 2 regimen groups by antiretroviral treatment history (ARV \[antiretroviral\] naive, ARV experienced, and combined \[ARV naive + ARV experienced\]). For the combined group (ARV naive +ARV experienced) an additional ANCOVA was used correcting also for treatment history as an additional covariate. Only Clade B participants were included in the population.
To assess the effect of varying degrees of renal impairment on the exposure of BMS-626529 after a single oral-dose administration of the pro-drug, BMS-663068, will be evaluated by assessing the primary endpoints of Cmax, for BMS-626529.
PK parameters for BMS-626529 in the absence or presence of multiple doses of maraviroc include: \- Cmax
PK parameters for BMS-626529 in the absence or presence of multiple doses of maraviroc include: \- AUC(TAU)
PK parameters for maraviroc in the absence or presence of BMS-663068 include: \- Cmax
PK parameters for maraviroc in the absence or presence of BMS-663068 include: \- AUC(TAU)
Pharmacokinetic parameter includes: maximal observed concentration (Cmax) for EE and NE.
Pharmacokinetic parameter includes: area under the concentration-time curve in one dosing interval (AUC(TAU)) for EE and NE.
In the presence or absence of multiple doses of DRV/COBI or COBI
| Arm | Type | Description |
|---|---|---|
| A1: BMS-663068 | EXPERIMENTAL | Phase 1: BMS-663068 600 mg tablets orally twice daily for 8 days. Phase 2: BMS-663068 600 mg tablets orally twice daily for 48 weeks or longer. |
| B1: Placebo + BMS-663068 | ACTIVE_COMPARATOR | Phase 1: Placebo twice daily for 8 days. Phase 2: BMS-663068 600 mg tablets orally twice daily for 48 weeks or longer. |
| BMS-663068 | EXPERIMENTAL | BMS-663068 600 mg tablets orally twice daily for 48 weeks or longer. |
| Arm A: BMS-663068 (400mg) + Raltegravir + Tenofovir | EXPERIMENTAL | Treatment Group 1 |
| Arm B: BMS-663068 (800 mg) + Raltegravir + Tenofovir | EXPERIMENTAL | Treatment Group 2 |
| Arm C: BMS-663068 (600 mg) + Raltegravir + Tenofovir | EXPERIMENTAL | Treatment Group 3 |
| Arm D: BMS-663068 (1200 mg) + Raltegravir + Tenofovir | EXPERIMENTAL | Treatment Group 4 |
| Arm E: Atazanavir + Ritonavir + Raltegravir + Tenofovir | ACTIVE_COMPARATOR | Treatment Group 1 (reference arm) |
| BMS-663068 600 mg Q12H + RTV 100 mg Q12H | EXPERIMENTAL | All participants received BMS-663068 600 milligram (mg) and Ritonavir (RTV) 100 mg every 12 hours (Q12H) from Day 1 to Day 8. |
| BMS-663068 1200 mg QHS + RTV 100 mg QHS | EXPERIMENTAL | All participants received BMS-663068 1200 mg and RTV 100 mg every night (quaque hora somni \[QHS\]) from Day 1 to Day 8. |
| BMS-663068 1200 mg Q12H + RTV 100 mg Q12H | EXPERIMENTAL | All participants received BMS-663068 1200 mg and RTV 100 mg Q12H from Day 1 to Day 8. |
| BMS-663068 1200 mg Q12H + RTV 100 mg QAM | EXPERIMENTAL | All participants received BMS-663068 1200 mg Q12H and RTV 100 mg every 24 hours in the morning (quaque ante meridiem \[QAM\]) from Day 1 to Day 8. |
| BMS-663068 1200 mg Q12H | EXPERIMENTAL | All participants received BMS-663068 1200 mg Q12H from Day 1 to Day 8. |
| Treatment A: reference extended-release (ER) 1 tablet at 600mg | EXPERIMENTAL | A single dose of BMS-663068 administered orally as specified |
| Treatment B: low-dose ER 4 tablets at 150mg | EXPERIMENTAL | A single dose (4 tablets) of BMS-663068 administered orally as specified |
| Oral dose of BMS-663068 + intravenous dose of [13C]BMS 626529 | EXPERIMENTAL | Single oral dose of BMS-663068 followed by Single intravenous dose of \[13C\]BMS 626529 |
| Healthy Subjects | EXPERIMENTAL | A single dose of pro-drug, BMS-663068, administered orally and then metabolized to active BMS-626529 on Day 1. |
| Mild Renal Impairment Subjects | EXPERIMENTAL | A single dose of pro-drug, BMS-663068, administered orally and then metabolized to active BMS-626529 on Day 1. |
| Moderate Renal Impairment Subjects | EXPERIMENTAL | A single dose of pro-drug, BMS-663068, administered orally and then metabolized to active BMS-626529 on Day 1. |
| Severe Renal Impairment Subjects | EXPERIMENTAL | A single dose of pro-drug, BMS-663068, administered orally and then metabolized to active BMS-626529 on Day 1. |
| End Stage Renal Disease Subjects | EXPERIMENTAL | A single dose of pro-drug, BMS-663068, administered orally and then metabolized to active BMS-626529 on Day 1. |
| Treatment A | EXPERIMENTAL | Single BMS-663068 tablet under fasted conditions |
| Treatment B | EXPERIMENTAL | Single BMS-663068 tablet with a high fat meal |
| Treatment C | EXPERIMENTAL | Single BMS-663068 tablet after a single famotidine tablet under fasted conditions |
| Part 1 (BMS-663068+methadone) | EXPERIMENTAL | Effect of multiple doses of BMS-663068, 600mg ER on the exposure of methadone |
| Part 2 (BMS-663068+buprenorphine and norbuprene) | EXPERIMENTAL | Effect of multiple doses of BMS-663068, 600mg ER on the exposure of buprenorphine and norbuprenorphine |
| Part 1 | EXPERIMENTAL | BMS-663068 1 × 600 mg extended-release (ER) tablet formulation |
| Part 1: Prototype 1 | EXPERIMENTAL | BMS-663068 600 mg ER low-dose tablet formulation (Prototype 1) |
| Part 1: Prototype 2 | EXPERIMENTAL | BMS-663068 600 mg ER low-dose tablet formulation (Prototype 2) |
| Part 1: Prototype 3 | EXPERIMENTAL | BMS-663068 600 mg ER low-dose tablet formulation (Prototype 3) |
| Part 1: Prototype 4 | EXPERIMENTAL | BMS-663068 600 mg ER low-dose tablet formulation (Prototype 4) |
| Part 1: Prototype 5 | EXPERIMENTAL | BMS-663068 600 mg ER low-dose tablet formulation (Prototype 5) |
| Part 2 | EXPERIMENTAL | BMS-663068 1 × 600 mg ER tablet formulation |
| Part 2: Prototype 1 | EXPERIMENTAL | BMS-663068 600 mg ER prototype multi-particulate formulation (Prototype 1) |
| Part 2: Prototype 2 | EXPERIMENTAL | BMS-663068 600 mg ER prototype multi-particulate formulation (Prototype 2) |
| Part 2: Prototype 3 | EXPERIMENTAL | BMS-663068 600 mg ER prototype multi-particulate formulation (Prototype 3) |
| Part 2: Prototype 4 | EXPERIMENTAL | BMS-663068 600 mg ER prototype multi-particulate formulation (Prototype 4) |
| Sequential Dosing | EXPERIMENTAL | Treatment A: BMS-663068 orally twice daily (BID) on Days 1 through 4 Treatment B: Maraviroc BID on Days 7 through 11 Treatment C: BMS-663068 BID plus maraviroc BID on Days 12 through 18 |
| Single Sequence A, B, C, and D | EXPERIMENTAL | Treatment A/Cycle 1: OC containing EE and progestin taken by mouth. Treatment B/Cycle 2: OC containing EE and progestin taken by mouth. Treatment C/Cycle 3: Loestrin 1.5/30 taken by mouth. Treatment D/Cycle 4: Loestrin 1.5/30 (alone) and Loestrin 1.5/30 with BMS-663068 taken by mouth. |
| Hepatic Impaired Subjects - Mild Rating | ACTIVE_COMPARATOR | Mildly impaired subjects will receive a single, oral dose of BMS-663068 on Day 1. |
| Hepatic Impaired Subjects - Moderate Rating | ACTIVE_COMPARATOR | Moderately impaired subjects will receive a single, oral dose of BMS-663068 on Day 1. |
| Hepatic Impaired Subjects - Severe Rating | ACTIVE_COMPARATOR | Severly impaired subjects will receive a single, oral dose of BMS-663068 on Day 1. |
| Cohort 1, Treatment A, B | EXPERIMENTAL | Treatment A: BMS-663068 orally twice daily (BID) on Days 1 through 4 Treatment B: BMS-663068 orally BID plus DRV/COBI orally once daily (QD) on Days 5 through 14 |
| Cohort 2, Treatment C, D | EXPERIMENTAL | Treatment C: BMS-663068 orally BID on Days 1 through 4 Treatment D: BMS-663068 orally BID plus COBI QD on Days 5 through 14 |
| Rosuvastatin and BMS-663068 | EXPERIMENTAL | Treatment A: Rosuvastatin, single dose (SD) Treatment B: BMS-663068 administered on specified days Treatment C: Combination BMS-663068 and Rosuvastatin administered on specified days |
| BMS-663068- Fasted | EXPERIMENTAL | BMS-663068 tablet twice a day by mouth on specified days |
| BMS-663068- Fed | EXPERIMENTAL | BMS-663068 tablet twice a day by mouth on specified days |
| Cohort 1: BMS-663068 + Rifabutin | EXPERIMENTAL | Regimen A: BMS-663068 tablet by mouth as specified Regimen B: BMS-663068 tablet with Rifabutin capsule by mouth as specified |
| Cohort 2: BMS-663068 + Rifabutin + Ritonavir | EXPERIMENTAL | Regimen A: BMS-663068 tablet by mouth as specified Regimen C: BMS-663068 tablet, Rifabutin capsule and Ritonavir (RTV) capsule by mouth as specified |
| Cohort 1: BMS-663068+DRV/RTV | EXPERIMENTAL | Extended release tablet BMS-663068 600mg orally twice daily on days 1-4 and 17-26. Tablet DRV 600mg / RTV 100mg orally orally twice daily on days 7-16 |
| Cohort 2: BMS-663068+ETR | EXPERIMENTAL | Extended release tablet BMS-663068 600mg orally twice daily on days 1-4 and 17-26. Tablet ETR 200mg orally orally twice daily on days 7-16 |
| Cohort 3: BMS-663068+DRV/RTV+ETR | EXPERIMENTAL | Extended release tablet BMS-663068 600mg orally twice daily on days 1-4 and 17-26. Tablet DRV 600mg / RTV 100mg and ETR 200mg orally orally twice daily on days 7-16 |
| Name | Type | Description |
|---|---|---|
| BMS-663068 | DRUG | BMS-663068 |
| Placebo | OTHER | Placebo |
| BMS-663068 400 mg | DRUG | Tablets, Oral, 400 mg, twice daily (BID), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| BMS-663068 800 mg | DRUG | Tablets, Oral, 800 mg, twice daily (BID), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| BMS-663068 600 mg | DRUG | Tablets, Oral, 600 mg, once daily (QD), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| BMS-663068 1200 mg | DRUG | Tablets, Oral, 1200 mg, once daily (QD), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| Raltegravir 400 mg | DRUG | Tablets, Oral, 400 mg, twice daily (BID), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| Tenofovir 300 mg | DRUG | Tablets, Oral, 300 mg, Once daily (QD), 24+ weeks until optimal dose is selected, or 96 weeks if optimal dose |
| Ritonavir 100 mg | DRUG | Tablets, Oral, 100 mg, Once daily, 96 weeks |
| Atazanavir 300 mg | DRUG | Capsules, Oral, 300 mg, Once daily, 96 weeks |
| Ritonavir | DRUG | Ritonavir will be administered as a capsule. |
| BMS-663068 (1 tablet at 600 mg) | DRUG | BMS-663068 (1 tablet at 600 mg). A single dose of BMS-663068 administered orally as specified. |
| BMS-663068 (4 tablets at 150 mg each tablet) | DRUG | BMS-663068 (4 tablets at 150 mg each tablet). A single dose (4 tablets) of BMS-663068 administered orally as specified. |
| BMS-626529 | DRUG | Single intravenous dose of \[13C\]BMS 626529 |
| Oral BMS-663068 (pro-drug) | DRUG | Oral BMS-663068 (pro-drug), metabolized to active BMS-626529 |
| Methadone | DRUG | Methadone |
| Buprenorphine and Norbuprenorphine | DRUG | Buprenorphine and Norbuprenorphine |
| Maraviroc | DRUG | Maraviroc |
| Oral Contraceptive | DRUG | Subject's existing combination OC tablet containing EE and progestin |
| Loestrin 1.5/30 | DRUG | OC containing EE and norethindrone acetate (NEA) |
| Darunavir | DRUG | Darunavir |
| Cobicistat | DRUG | Cobicistat |
| Rosuvastatin | DRUG | - |
| Rifabutin | DRUG | Rifabutin |
| Darunavir (DRV) | DRUG | Darunavir (DRV) |
| Ritonavir (RTV) | DRUG | Ritonavir (RTV) |
| Etravirine (ETR) | DRUG | Etravirine (ETR) |
Inclusion Criteria: * Men and non-pregnant women with chronic HIV-1 infection * Antiretroviral-experienced with documented historical or baseline resistance, intolerability, and/or contraindications to antiretrovirals in at least three classes * Failing current antiretroviral regimen with a confirm...
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BMS-663068 is an investigational small molecule being developed for the treatment of HIV infections. It is currently in Phase 3 clinical development for this indication. The drug is being studied in patients with HIV-1, including those who are heavily treatment experienced.
BMS-663068 is being developed by GSK plc, which trades under the ticker GSK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in treating HIV infections. The drug is currently in Phase 3 development.
BMS-663068 is in Phase 3 clinical development for the treatment of HIV infections. It is an investigational drug and has not been approved by regulatory authorities. The most advanced trial is a Phase 3 study comparing the drug in heavily treatment experienced patients.
BMS-663068 has been studied in 13 clinical trials, with one active trial. The active Phase 3 trial is NCT02362503, which enrolled 371 participants across multiple countries. Completed trials include NCT01009814, a Phase 2 pharmacodynamics study, and NCT02674581, a Phase 1 renal impairment study.
BMS-663068 is not FDA approved. It is an investigational drug currently in Phase 3 clinical development for HIV infections. The drug is being evaluated in clinical trials to determine its safety and efficacy, but it has not yet received regulatory approval for any use.
BMS-663068 is an HIV attachment inhibitor, meaning it works by blocking the virus from attaching to host cells. This mechanism is being studied in clinical trials for the treatment of HIV-1 infections, including in patients who have been heavily treatment experienced.