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Otamixaban

Phase 3

Acute Coronary Syndrome | Small molecule | Cardiovascular |Sanofi|Last Updated: May 4, 2016

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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment13,220
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01076764Effect of Otamixaban Versus Unfractionated Heparin + Eptifibatide in Patients With Unstable Angina/Non ST Elevation Myocardial Infarction Undergoing Early Invasive StrategyPHASE3 COMPLETED 13,220Apr 1, 2010May 1, 2013May 4, 2016607 United States, Argentina +53
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Study Endpoints
Primary Endpoints
Efficacy: Adjudicated double composite of all-cause of death and new myocardial infarction
from randomization (day 1) to day 7
Safety: Adjudicated Thrombolysis In Myocardial Infarction (TIMI) significant bleeding (composite of TIMI major and minor)
from day 1 to day 7
Secondary Endpoints
Adjudicated Triple efficacy composite of all-cause death, new myocardial infarction and any stroke
from day 1 to day 7
Rehospitalization or prolongation of hospitalization due to a new episode of myocardial ischemia/myocardial infarction
from day 1 to day 30
Adjudicated all-cause death
from day 1 to day 30
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Otamixaban - 0.080 mg/kg bolus + 0.100 mg/kg/h infusionEXPERIMENTALFrom randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Otamixaban (0.080 mg/kg bolus followed by 0.100 mg/kg/h infusion) * Drug B: Placebo (for UFH) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Placebo (for Eptifibatide)
Otamixaban - 0.080 mg/kg bolus + 0.140 mg/kg/h infusionEXPERIMENTALFrom randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Otamixaban 0.080 mg/kg bolus followed by 0.140 mg/kg/h infusion) * Drug B: Placebo (for UFH) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Placebo (for Eptifibatide)
UFH + EptifibatideACTIVE_COMPARATORFrom randomization until the end of the PCI or, if no PCI, up to Day 4 or hospital discharge whichever comes first: * Drug A: Placebo (for Otamixaban) * Drug B: UFH (60 IU/kg bolus followed by 12 IU/kg/h infusion) From PCI (downstream use) until 18-24 hour post PCI or hospital discharge whichever comes first: * Drug C: Eptifibatide (180 mcg/kg bolus followed by 2 mcg/kg/min infusion)
Interventions
NameTypeDescription
OtamixabanDRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
Placebo (for Otamixaban)DRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
UFHDRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
Placebo (for UFH)DRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
EptifibatideDRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
Placebo (for Eptifibatide)DRUGPharmaceutical form: Intravenous (IV) solution Route of administration: IV bolus followed by continuous IV infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites607

Inclusion criteria: Patient with non-ST-segment elevation Acute Coronary Syndrome (NSTE-ACS) with: 1. Ischemic symptoms (chest pain or equivalent) at rest ≥ 10 minutes within 24 hours of randomization, AND 2. One of the two following criteria: * New ST-segment depression ≥ 0.1 mV (≥1 mm), ...

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