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BT524

Phase 3

Bleeding Disorder | Monoclonal antibody | Hematology |Icon Plc|Last Updated: Jul 3, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment222

FDA Designations

No designations recorded

Clinical trial landscape

BT524 · 2 trials · 4 indications

Phase 3 2
NCT03444324Adjusted Fibrinogen Replacement StrategyBleeding Disorder
COMPLETED222 Analytics
NCT02065882Pharmacokinetic, Efficacy and Safety of BT524 in Patients With Congenital Fibrinogen DeficiencyCongenital Afibrinogenemia
COMPLETED67 Analytics
PHASE3COMPLETED
Adjusted Fibrinogen Replacement Strategy
Bleeding DisorderUnlock trial analytics
PHASE3COMPLETED
Pharmacokinetic, Efficacy and Safety of BT524 in Patients With Congenital Fibrinogen Deficiency
Congenital AfibrinogenemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Intra-operative Blood Loss
From decision to treat the subject with IMP until end of surgery, an average of 5 hours

Intra-operative blood loss as measured by amount of blood from blood suction unit and amount of blood from surgical cloths and compresses.

Single-dose Pharmacokinetics (PK) of BT524: Terminal Elimination Half-life (t1/2) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

T1/2 of fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. T1/2 was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-dose Pharmacokinetics (PK) of BT524: Time to Maximum Concentration (Tmax) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

Time of occurence of Cmax relative to dosing (Tmax) for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. Tmax was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/required).

Single-Dose Pharmacokinetics (PK) for BT524: Maximum Concentration (Cmax) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

Maximum observed plasma concentration (Cmax) for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. Cmax was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Area Under the Curve (AUC) Calculated to the Last Measured Concentration (AUC0-tz) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

AUC0-tz: Area under the time course of the plasma concentrations calculated from time zero up to the last quantifiable plasma concentration for fibrinogen antigen, was determined from samples taken at several time points during the 14 day sampling period. AUC0-tz was derived from time-concentration profiles using adapted methodology (noncompartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Extent of Area Under the Curve (AUC) Extrapolation Beyond Last Concentration (AUCextr) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

AUCextr: extent of AUC extrapolation beyond last concentration for fibrinogen antigen, was determined from samples taken at several time points during the 14 day sampling period. AUCextr was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Area Under the Curve (AUC) From Time 0 to Infinity (AUC0-∞) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

AUC0-∞: AUC from time 0 to infinity for fibrinogen antigen, was determined from samples taken at several time points during the 14 day sampling period. AUC0-∞ was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Mean Residence Time (MRT) Extrapolated to Infinity (MRT0-∞) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

MRT0-∞: Mean Residence Time (MRT) extrapolated to infinity for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. MRT0-∞ was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Clearance (CL) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

CL: Total clearance (CL) for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. CL was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Volume of Distribution at Presumed Steady-state (Vdss) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

Vdss: Volume of distribution at presumed steady-state for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. Vdss was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Volume of Distribution at Presumed Steady-state (Vdss) Per kg Body Weight (BW) for Fibrinogen Antigen
Pre-dose on Dosing Day 0, at the end of the infusion and 0.5, 1, 2, 4, 8, 24, 48, 96, 168, 240 and 336 hours post-dose

Vdss per kg BW: Volume of distribution at presumed steady-state per kg bodyweight for fibrinogen antigen was determined from samples taken at several time points during the 14 day sampling period. Vdss per kg BW was derived from time-concentration profiles using adapted methodology (non-compartmental analysis, compartment analysis, or population modeling, as appropriate/ required).

Single-Dose Pharmacokinetics (PK) for BT524: Incremental Recovery (IR) for Fibrinogen Antigen
Between pre-dose and 4 hours post-dose

IR is the dose-adjusted maximum fibrinogen increase in plasma within 4 hours after the end of infusion.

Single-Dose Pharmacokinetics (PK) for BT524: Classical in Vivo Recovery (CIR) for Fibrinogen Antigen
Between pre-dose and 4 hours post-dose

CIR: maximum fibrinogen increase in plasma within 4 hours after the end of infusion divided by the maximum theoretical fibrinogen increase

Secondary Endpoints

Proportion (%) of Subjects With Successful Correction of Fibrinogen Level (FIBTEM A10) 15 Minutes After Start of First IMP Administration
Prior first dose, 15 minutes after start of first IMP administration
Time to First Successful Correction of Fibrinogen Level
prior 1st dose, pre-dose, 15 minutes and 90 minutes after start of first IMP administration, end of surgery
Transfusion Requirements: Cell Salvage
After start of first IMP administration until end of surgery, an average of 5 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BT524EXPERIMENTALInvestigational Human Fibrinogen Concentrate
Fresh Frozen Plasma (FFP)/Cryoprecipitate (Cryo)ACTIVE_COMPARATORStandard of Care

Interventions

NameTypeDescription
BT524BIOLOGICALBT524 was administered intravenously at a patient specific dosage depending on the type of surgery, the extent of bleeding and the subject's clinical condition.
FFP/CryoBIOLOGICALFFP/Cryo was administered intravenously; dosage according to local standards. FFP, 15 mL per kg body weight (BW); Cryoprecipitate, fixed dose of 10 units.
BT524 (Part I)DRUGSingle intravenous infusion of 70 mg BT524 per kg body weight.
BT524 (Part II)DRUGSingle or repetitive intravenous infusion(s) of BT524, depending on the severity of the disorder, location and extent of the bleeding and patient's clinical condition. Dosage based on individual body weight and fibrinogen level.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: At screening: 1. Written informed consent 2. Subjects scheduled for elective major spinal surgery or cytoreductive pseudomyxoma peritonei (PMP) surgery with expected major blood loss 3. Male or female, aged ≥ 18 years 4. No increased bleeding risk as assessed by standard coagul...

Countries:BelgiumCzechiaGermanyPolandSpainSwitzerlandUnited KingdomBulgariaEgyptLebanonTunisia
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Frequently asked questions about BT524

What is BT524 used for?

BT524 is an investigational monoclonal antibody being developed for congenital afibrinogenemia and bleeding disorders. It is also studied in congenital hypofibrinogenemia and acquired hypofibrinogenemia. The drug is in Phase 3 clinical development for these hematology conditions.

Who is developing BT524?

BT524 is being developed by Icon Plc, a biopharmaceutical company traded on the NASDAQ under the ticker ICLR. The company is conducting Phase 3 clinical trials to evaluate the drug's pharmacokinetics, efficacy, and safety in patients with congenital fibrinogen deficiency.

What phase is BT524 in?

BT524 is in Phase 3 clinical development. It is an investigational drug, not yet approved by regulatory authorities. Two Phase 3 trials have been completed, with a total enrollment of 222 patients across studies in congenital afibrinogenemia, hypofibrinogenemia, and acquired bleeding disorders.

What clinical trials is BT524 in?

BT524 has been studied in two completed Phase 3 trials. NCT02065882 evaluated pharmacokinetics, efficacy, and safety in patients with congenital fibrinogen deficiency, enrolling 67 participants. NCT03444324 assessed an adjusted fibrinogen replacement strategy in 222 patients with bleeding disorders and acquired hypofibrinogenemia.

Is BT524 the same as another drug?

BT524 is the primary name for this investigational monoclonal antibody. No alternative names have been reported for the drug in clinical trial registrations. It is being studied under the identifier BT524 across multiple Phase 3 trials for fibrinogen-related bleeding conditions.

How does BT524 work?

BT524 is a monoclonal antibody designed to address fibrinogen deficiency. It is being studied in conditions such as congenital afibrinogenemia, where the body lacks functional fibrinogen, a protein essential for blood clotting. The drug aims to manage bleeding episodes in these patients.