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BPS804

Phase 2

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

Development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Aug 2011

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment8

FDA Designations

No designations recorded

Clinical trial landscape

BPS804 · 3 trials · 4 indications

Phase 2 3
NCT01406548Safety and Efficacy of Multiple Dosing Regimens of BPS804 in Post Menopausal Women With Low Bone Mineral DensityOsteopenia
COMPLETED44 Analytics
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
Safety and Efficacy of Multiple Dosing Regimens of BPS804 in Post Menopausal Women With Low Bone Mineral Density
OsteopeniaUnlock trial 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

Change from baseline to month 9 in bone mineral density at the lumbar spine for the individual BPS804 groups and pooled placebo arms.
9 months
The number (percent) of subjects experiencing adverse events or serious adverse events
9 months
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

Change from baseline during 9 months of serological bone biomarkers for the individual BPS804 groups and pooled placebo arms.
9 months
Characterization of the PK profile of BPS804: area under the plasma concentration-time curve (AUC)
260 days
Characterization of the PK profile of BPS804: time to reach the maximum Characterization of the PK profile of BPS804: maximum plasma concentration (Cmax)
260 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BPS804 dosing frequency 1EXPERIMENTALSubjects dosed 20mg/Kg BPS804 monthly
placebo dosing frequency 1PLACEBO_COMPARATORSubjects dosed with matching placebo to 20mg/Kg BPS804 monthly
BPS804 dosing frequency 2EXPERIMENTALSubjects dosed with 20mg/Kg BPS804 quarterly
placebo dosing frequency 2PLACEBO_COMPARATORSubjects dosed with matching placebo to 20mg/Kg BPS804 every 3 months
BPS804 dosing frequency 3EXPERIMENTALSubjects dosed with 20mg/Kg BPS804 weekly
Placebo dosing frequency 3PLACEBO_COMPARATORSubjects dosed with matching placebo to 20mg/Kg BPS804 weekly
BPS804 dose escalationEXPERIMENTALBPS804 IV Setrusumab given in escalating doses from 5mg/Kg to 20mg/Kg
Treatment groupEXPERIMENTAL -
Untreated reference groupNO_INTERVENTION -

Interventions

NameTypeDescription
BPS804 20mg/KgDRUG -
Placebo to 20mg/Kg BPS804DRUG -
BPS804DRUG -
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Eligibility Criteria

Age Range45 Years to 85 Years
SexFEMALE
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Postmenopausal women (natural or surgically induced menopause) * Low bone mineral density (BMD), as defined by a T score or equivalent BMD absolute value (g/cm2) for lumbar spine of between -2.0 and -3.5, inclusive * Body mass index (BMI) must be within the range of 18 to 35kg...

Countries:United StatesGermanyBelgiumCanada
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Frequently asked questions about BPS804

What is BPS804?

BPS804 is an investigational small molecule being developed by Ultragenyx Pharmaceutical Inc. for rare bone disorders. It has been studied in Phase 2 clinical trials for hypophosphatasia, osteogenesis imperfecta, and osteopenia. BPS804 is not approved for any indication and remains in clinical development.

What is BPS804 used for in hypophosphatasia?

BPS804 has been evaluated in a Phase 2 clinical trial for adults with hypophosphatasia (HPP), a rare genetic bone disorder. The trial, NCT01406977, was a dose escalation study assessing safety and tolerability of multiple infusions. BPS804 is investigational and has not been approved for hypophosphatasia or any other condition.

Who makes BPS804?

BPS804 is being developed by Ultragenyx Pharmaceutical Inc., a biopharmaceutical company focused on rare diseases. Ultragenyx trades on the Nasdaq under the ticker symbol RARE. The company is responsible for the clinical development of BPS804.

What phase is BPS804 in?

BPS804 is in Phase 2 clinical development. It has completed Phase 2 trials for hypophosphatasia, osteogenesis imperfecta, and osteopenia. There are currently no active trials listed for BPS804, and it has not received FDA approval for any indication.

What clinical trials is BPS804 in?

BPS804 has been studied in three completed Phase 2 trials: NCT01417091 in osteogenesis imperfecta, NCT01406977 in hypophosphatasia, and NCT01406548 in postmenopausal women with low bone mineral density. All trials are completed, and no active trials are ongoing.