Recent Updates
Recently added Catalysts

BVS857

Phase 2

Spinal and Bulbar Muscular Atrophy | Small molecule | Other |Novartis AG|Last Updated: Jan 5, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment37
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02024932Safety, Tolerability, and Efficacy of BVS857 in Patients With Spinal and Bulbar Muscular AtrophyPHASE2 COMPLETED 37Feb 4, 2014Apr 13, 2016Jan 5, 20216 United States, Denmark +2
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Patients With Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths as a Measure of Safety and Tolerability
After 78 days in Part A and after 85 days in Part B.

Safety was monitored throughout the study.

Number of Mild, Moderate and Severe Adverse Events as a Measure of Safety and Tolerability
After 78 days in Part A and after 85 days in Part B.

Safety was monitored throughout the study.

Mean Percent Change From Baseline in Thigh Muscle Volume in Part B, Cohort 5
Baseline, Day 85

Thigh muscle volume was assessed by magnetic resonance imaging (MRI). Change from baseline was calculated from the ratio of the post-baseline mean value to the baseline mean value: \[(Day 85/baseline) - 1)\] x 100. A positive change from baseline indicates improvement.

Secondary Endpoints
Mean Change From Baseline in Score on the Adult Myopathy Assessment Tool (AMAT) in Part B, Cohort 5
Baseline, Day 85
Mean Change From Baseline in Total Lean Body Mass (LBM) in Part B, Cohort 5
Baseline, Day 85
Plasma Pharmacokinetics (PK) of BVS857: Observed Maximum Concentration Following Drug Administration (Cmax) in Part A, Cohort 1
Days 1, 15, 29, 43: pre-dose, 1, 4, 12, 24, 48, 168 hours post-dose
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BVS857 Part A Open label (Cohort 1)EXPERIMENTALParticipants received single doses of 0.01 mg/kg BVS857 intravenously (i.v.) on day 1, 0.01 mg/kg BVS857 subcutaneously (s.c.) on day 15, 0.03 mg/kg BVS857 s.c. on day 29, 0.06 mg/kg BVS857 s.c. on day 43 and 0.10 mg/kg BVS857 s.c. on day 57.
BVS857 Part A double blind (Cohort 2)EXPERIMENTALParticipants received single doses of 0.03 mg/kg BVS857 i.v on day 1, 0.03 mg/kg BVS857 s.c. on day 15, 0.06 mg/kg BVS857 s.c. on day 29, 0.10 mg/kg BVS857 s.c. on day 43 and 0.10 mg/kg BVS857 s.c. on day 57. (BVS857 concentrations differed on days 43 and 57.)
Placebo Part A double blind (Cohort 2)PLACEBO_COMPARATORParticipants received single doses of matching placebo i.v. on day 1 and matching placebo s.c. on days 15, 29, 43 and 57.
BVS857 Part B open-label (Cohort 4)EXPERIMENTALParticipants received 0.1 mg/kg BVS857 i.v. weekly for 12 weeks.
BVS857 Part B double blind (Cohort 5)EXPERIMENTALParticipants received 0.06 mg/kg (maximum 6 mg) BVS857 i.v. weekly for 12 weeks.
Placebo Part B double blind (Cohort 5)PLACEBO_COMPARATORParticipants received matching placebo i.v. to BVS857 weekly for 12 weeks.
Interventions
NameTypeDescription
BVS857DRUGBVS857 lyophilisate in vial; the lyophilisate was reconstituted with sterile water for injection, diluted as appropriate, and administered either i.v. or s.c..
PlaceboDRUGPlacebo lyophilisate in vial; the lyophilisate was reconstituted with sterile water for injection, diluted as appropriate, and administered either i.v. or s.c..
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites6

Key Inclusion Criteria: * Genetic diagnosis of SBMA with symptomatic muscle weakness * Able to complete 2 minute timed walk * Serum IGF-1 level less than or equal to 170 ng/mL Key Exclusion Criteria: * Medically treated diabetes mellitus or known history of hypoglycemia * History of Bell's palsy ...

Countries:United StatesDenmarkGermanyItaly
Unlock Eligibility Criteria