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BYM338

Phase 3

Sporadic Inclusion Body Myositis | Monoclonal antibody | Other |Novartis AG|Last Updated: Dec 17, 2020

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment476
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02573467An Extension Study of the Efficacy, Safety and Tolerability of BYM338 (Bimagrumab) in Patients With Sporadic Inclusion Body Myositis Who Previously Participated in the Core Study CBYM338B2203PHASE3 COMPLETED 211Nov 2, 2015Feb 13, 2017Mar 13, 201838 United States, Australia +8
NCT01925209Efficacy and Safety of Bimagrumab/BYM338 at 52 Weeks on Physical Function, Muscle Strength, Mobility in sIBM PatientsPHASE2 COMPLETED 251Sep 26, 2013Jan 6, 2016Aug 11, 201738 United States, Australia +8
NCT01423110Efficacy, Safety and Tolerability of BYM338 in Patients With Sporadic Inclusion Body MyositisPHASE2 COMPLETED 14Aug 1, 2011May 1, 2012Dec 17, 20203 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Deaths.
to end of study (up to 14 months, including the 6-month treatment-free follow-up period)

Safety monitoring was conducted throughout the study. AEs starting on or after the day of first administration of extension study drug until last administration of study drug + 56 days are considered. SAEs starting on or after the day of first administration of extension study drug are considered. Deaths which occurred on or after the day of first administration of extension study drug are considered.

Change From Core Study Baseline in 6 Minute Walking Distance Test (6MWD)
Core study baseline, weeks 52, 78, 104, and >=117

The 6MWD test measures the distance (in meters) that a participant can walk in a 6 minute time frame. A positive change from baseline indicates improvement. The efficacy analysis and time points were based on windowed visits relative to the first dose of the double-blind treatment in the core study.

Change From Baseline in 6 Minute Walking Distance (6MWD) Test at Week 52
Baseline, Week 52

The 6MWD test measured the distance (in meters) that a participant walked in a 6 minute timeframe. A positive change from baseline indicates improvement.

Effect of BYM338 on Thigh Muscle Volume by MRI
8 weeks

Change in thigh muscle volume

Secondary Endpoints
Change From Core Study Baseline in Quadriceps Quantitative Muscle Testing (QMT) on the Right Side
Core study baseline, week 52, week 78, week 104 and >=week 117
Change From Core Study Baseline in Sporadic Inclusion Body Myositis (sIBM) Functional Assessment (sIFA) Score
Core study baseline, week 52, week 78, week 104, and >=week 117
Estimated Annual Number of Falls Per Participant Within Treatment Group
Core baseline to end of extension double-blind treatment (up to a maximum of 32 months)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BYM338/bimagrumab 10 mg/kgEXPERIMENTALParticipants received BYM338 10 mg/kg administered via intravenous infusion every 4 weeks for up to a maximum of 8 months after which they entered a 6-month, treatment-free follow-up period.
BYM338/bimagrumab 3 mg/kgEXPERIMENTALParticipants received BYM338 3 mg/kg administered via intravenous infusion every 4 weeks for up to a maximum of 8 months after which they entered a 6-month, treatment-free follow-up period.
BYM338/bimagrumab 1 mg/kgEXPERIMENTALParticipants received BYM338 1 mg/kg administered via intravenous infusion every 4 weeks for up to a maximum of 8 months after which they entered a 6-month, treatment-free follow-up period.
PlaceboPLACEBO_COMPARATORParticipants received placebo administered via intravenous infusion every 4 weeks for up to a maximum of 8 months after which they entered a 6-month, treatment-free follow-up period.
BYM338EXPERIMENTAL -
Interventions
NameTypeDescription
BimagrumabDRUGBYM338, a 150 mg/mL concentrate for solution for i.v. infusion, was provided in colorless glass vials with a rubber stopper and aluminum flip-off caps.
PlaceboDRUGMatching placebo to BYM338 was provided in colorless glass vials with a rubber stopper and aluminum flip-off caps.
BYM338/bimagrumabDRUGBYM338, a 150 mg/mL concentrate for solution for i.v. infusion, was provided in colorless glass vials with a rubber stopper and aluminum flip-off caps.
BYM338BIOLOGICAL -
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Eligibility Criteria
Age Range36 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Patients who completed the core study * Written informed consent must be obtained before any extension study assessment is performed. * Able to communicate well with the investigator. * Willing to participate for the entire duration of the extension study with commitment to fo...

Countries:United StatesAustraliaBelgiumDenmarkFranceItalyJapanNetherlandsSwitzerlandUnited Kingdom
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