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BPS804

Phase 2

Hypophosphatasia | Small molecule | Rare Disease |Ultragenyx Pharmaceutical Inc.|Last Updated: Sep 16, 2022

Success Probability
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Trial Design
UNCONTROLLED
Total Trials1
Total Enrollment8
FDA Designations
No designations recorded
Clinical trial landscape

BPS804 · 2 trials · 2 indications

Phase 2 2
NCT01406977Dose Escalation Study to Evaluate the Safety and Tolerability of Multiple Infusions of BPS804 in Adults With Hypophosphatasia (HPP)Hypophosphatasia
COMPLETED8 Analytics
NCT01417091Safety, Pharmacokinetics and Pharmacodynamics of BPS804 in Osteogenesis ImperfectaOsteogenesis Imperfecta
COMPLETED10 Analytics
PHASE2COMPLETED
Dose Escalation Study to Evaluate the Safety and Tolerability of Multiple Infusions of BPS804 in Adults With Hypophosphatasia (HPP)
HypophosphatasiaUnlock trial analytics
PHASE2COMPLETED
Safety, Pharmacokinetics and Pharmacodynamics of BPS804 in Osteogenesis Imperfecta
Osteogenesis ImperfectaUnlock trial analytics
Study Endpoints
Primary Endpoints
The number (percent) of patients experiencing adverse events or serious adverse events
141 days following initial investigational product administration
Change from baseline in primary serological bone biomarkers
141 days following initial investigational product administration
Safety and tolerability (composite outcome: standard laboratory, (serious) adverse events)
Day 1 through 141

The assessment of safety will be based on primarily on the frequency of adverse events, laboratory abnormalities, and serious adverse events suspected by the investigators to be related to study treatments. The AE collection period extends from the time of first study drug administration drug until study completion. The intensity of each AE will be characterized and classified into 1 of the 3 generic categories (mild, moderate, or severe). The number and percentage of patients with adverse events will be tabulated by treatment group, body system and preferred term. The periods for adverse event tabulation will be from dose administration up to next dose administration if a further dose is given, and from dose administration to EOS for the last dose administration of a patient.

Determination of pharmacodynamic effect by means of biomarkers
Day 1 and Day 43

Biomarker data from serum bone formation biomarkers: procollagen type I N-terminal propeptide, procollagen type I C-terminal propeptide, osteocalcin, and bone-specific alkaline phosphatase, and from serum bone resporption mbiomarkers: C-telopeptides of type I collagen cross-links, and N-telopeptides of type I collagen cross-links will be reported as concentration results, measured using a specific assay with a working range defined by the Lower limit of quantification and Upper limit of quantification. It will be considered a sign for efficacy, if any of the above show significant (2-sided, alpha=0.05) increase versus baseline in the BPS804 group on day 43.

Change in Z-score from baseline to Day 141
Day 1 and Day 141

Bone mineral density will be assessed by dual-energy X-ray absorptiometry of the lumbar spine. Analysis will include four vertebral levels from L1 to L4. Individual vertebral levels may be excluded due to artifact. Bone mineral density Z-scores will be used as these are a comparison of a patient's BMD to that of a patient of the same age, sex, and ethnicity. The comparison of change from baseline with the matching change in the reference group will be done by 2-sample t-tests (1-sided). It will be considered a sign for efficacy, if any of the above show significant (2-sided, alpha=0.05) increase versus baseline in the BPS804 group on day 141.

Secondary Endpoints
Characterization of the pharmacokinetic profile of BPS804: area under the plasma concentration-time curve (AUC)
1, 29 and 141 days following initial investigational product administration
Characterization of the pharmacokinetic profile of BPS804: observed maximum plasma concentration following drug administration (Cmax)
1, 15 and 29 days following initial investigational product administration
Characterization of the pharmacokinetic profile of BPS804: time to reach the maximum concentration (Tmax)
1, 15 and 29 days following initial investigational product administration
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BPS804 dose escalationEXPERIMENTALBPS804 IV Setrusumab given in escalating doses from 5mg/Kg to 20mg/Kg
Treatment groupEXPERIMENTAL -
Untreated reference groupNO_INTERVENTION -
Interventions
NameTypeDescription
BPS804DRUG -
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Eligibility Criteria
Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male and female patients 18 to 60 years of age in good health (other than pre-established clinical diagnosis of HPP) as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening. * Previously established clinica...

Countries:GermanyUnited StatesBelgiumCanada
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