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bimagrumab

Phase 2

Muscle Wasting (Atrophy) After Hip Fracture Surgery | Small molecule | Musculoskeletal |Novartis AG|Last Updated: Aug 19, 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 Trials1
Total Enrollment251
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02152761Study of Efficacy and Safety of Bimagrumab in Patients After Hip Fracture SurgeryPHASE2 COMPLETED 251Sep 16, 2014Oct 25, 2018Aug 19, 202053 United States, Argentina +17
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Study Endpoints
Primary Endpoints
Change From Baseline in Total Lean Body Mass Measured by DXA (Dual-energy X-ray Absorptiometry) at Weeks 12 and 24
baseline, weeks 12 and 24

Mixed Model for Repeated Measures (MMRM) of change from baseline in total LBM (kg) by treatment and visit To assess dose-response relationship of bimagrumab and facilitate an adequate dose selection for future phase III studies, without the need for supportive data from another dose-response finding study, at least three doses were required, ranging from a non-effective or minimally effective dose to a dose where maximal efficacy is expected. Original study was initiated with only two doses of bimagrumab, therefore, a lower dose arm of 70mg has been added to this study with Amendment 2, changing the randomization ratio from 1:1:1 to 2:1:2:2 to either placebo, bimagrumab 70mg, bimagrumab 210mg, or bimagrumab 700mg. Since the 70mg dose was expected to show suboptimal efficacy and fewer patients were randomized to this group, it was used only for dose response modelling and not for hypothesis testing. Consequently, no efficacy evaluations for the bimagrumab 70mg Arm were performed

Secondary Endpoints
Change From Baseline in Gait Speed at Week 24 (Meters/Sec)
Baseline, Week 24
Change From Baseline in Short Physical Performance Battery at Weeks 24
Week 24
Incidence of Falls up to Week 48
Up to Week 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
bimagrumab 700 mgEXPERIMENTALApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria were treated with the bimagrumab high dose administered via intravenous infusion starting Day 1 until Week 20
bimagrumab 210 mgEXPERIMENTALApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria were treated with the bimagrumab medium dose administered via intravenous infusion starting Day 1 until Week 20
placeboPLACEBO_COMPARATORApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria received matching placbo administered via intravenous infusion starting Day 1 until Week 20
Bimagrumab 70 mgEXPERIMENTALApproximately 35 patients who met all inclusion criteria and none of the exclusion criteria were treated with bimagrumad low dose administered via intravenous infusion starting Day 1 until Week 20
Interventions
NameTypeDescription
bimagrumabDRUGBimagrumab was administered as intravenous infusion starting on Day 1 until week 20.
placeboOTHERMatching placebo was administered as intravenous infusion starting on Day 1 until week 20.
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Eligibility Criteria
Age Range60 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: Must have X-ray confirmed successful hip fracture repair; Must have completed surgical wound healing; Ability to walk a specified distance with or without a walking aid; Must weigh at least 35 kg. Exclusion Criteria: Must not have history of any other lower limb fractures in t...

Countries:United StatesArgentinaAustraliaAustriaBelgiumChileColombiaCzechiaFranceGermanyHungaryJapanMexicoRussiaSpainSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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