Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
MYMD-1 · 2 trials · 4 indications
Effect on serum levels of sTNFR1, IL-6, and TNFα over 28 days of treatment
Area Under the Curve (AUC) (0-last): variation of a drug concentration in blood plasma as a function of time, compared across treatment and placebo groups.
urine sample collection for presence of parent drug - MYMD1
Any untoward occurrence in a subject which does not necessarily have a causal relationship with this treatment. Assessed as number and percent of subjects with adverse events, compared across treatment and placebo groups.
Number of subjects with clinically significant changes from Baseline in Blood Urea Nitrogen (BUN); Creatinine; Glucose (fasting); Magnesium; Cholesterol; Calcium; Uric Acid; C-Reactive Protein; Total Bilirubin; Direct Bilirubin; Phosphate; and Triglycerides, compared across treatment and Placebo groups. All tests measured in mg/dL.
Number of patients with clinically significant changes from Baseline in albumin, globulin, and total protein, compared across treatment and Placebo groups. All tests measured in g/dL.
Number of subjects with clinically significant changes from Baseline in Potassium, Sodium, Chloride, and Carbon Dioxide (bicarbonate), compared across treatment and Placebo groups. All tests measured in mmol/L.
Number of subjects with clinically significant changes from Baseline in Creatine Kinase muscle/brain (MB) fraction, compared across treatment and Placebo groups. All tests measured in ng/mL.
Number of subjects with clinically significant changes from Baseline in Gamma Glutamyl Transferase, Lactate dehydrogenase, Aspartate Aminotransferase (SGOT), Alanine aminotransferase (SGPT), Alkaline phosphatase, Creatine kinase, and Amylase, compared across treatment and Placebo groups. All tests measured in U/L.
Number of subjects with clinically significant changes from Baseline in Red Blood Cell (RBC) count, compared across treatment and Placebo groups. All tests measured in Millions/microL.
Number of subjects with clinically significant changes from Baseline in Platelet count and White Blood Cell count, compared across treatment and Placebo groups. All tests measured in Thousands/microL.
Number of subjects with clinically significant changes from Baseline in hematocrit and reticulocytes, compared across treatment and Placebo groups. All tests measured in %.
Number of subjects with clinically significant changes from Baseline in Absolute Neutrophils, Absolute Lymphocytes, Absolute Monocytes, Absolute Eosinophils, and Absolute Basophils, compared across treatment and Placebo groups. All tests measured in cells/microL.
Number of subjects with clinically significant changes from Baseline in Mean corpuscular hemoglobin, compared across treatment and Placebo groups. All tests measured in pg.
Number of subjects with clinically significant changes from Baseline in fibrinogen (mg/dL), compared across treatment and Placebo groups.
Number of subjects with clinically significant changes from Baseline time, Activated partial thromboplastin time, Thrombin time compared across treatment and Placebo groups. All tests measured in seconds (sec).
Number and percent of subjects with clinically significant changes from Baseline in Red Blood Cell (RBC), Epithelial Cells, Bacteria, Casts, and White Blood Cell (WBC) counts, compared across treatment and Placebo groups. All units measured as /lpf.
Number and percent of subjects with clinically significant changes from Baseline in Urobilinogen (eu/dL), compared across treatment and Placebo groups.
Number of subjects with clinically significant changes from Baseline in Electrocardiogram (12-lead ECG) measures of Heart Rate (beats per minute - bpm). Assessed by Investigator as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms"
12-lead. Number of subjects with changes from Baseline Elecrocardiogram (12-lead ECG) measures of PR Interval (ms); RR Interval (ms); QRS Interval (ms); QT Interval (ms); QTcF Interval (ms); and QTcB Interval (ms)
Clinically meaningful changes in cardiac rhythm pertaining to QT interval, derived from centrally-overread 12-lead ECGs, measured in triplicate, based on Holter monitoring. Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and placebo groups.
Otolaryngologic head, eye, ear, nose, and throat exam, based on Investigator observation, based on experience, education, and training. Visual assessment of clinical appearance. Ear examined using a flashlight. Throat examined using a tongue depressor. Assessed by Investigator as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms". Assessed as number and percent of patients with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Assessed by Investigator, based on education, training, and experience, using stethoscope, as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms". Assessed as number and percent of patients with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Physical signs and symptoms assessed by Investigator observation, based on experience, education, and training. May include observation of obesity or dermatologic conditions. Assessed by Investigator as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms". Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Respiratory function, measured in breaths per minute (bpm) Assessed by Investigator, based on education, experience, and training, as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms". Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Gastrointestinal signs and symptoms. May include evaluation of normal bowel movements or abdominal pain. Assessed by Investigator, based on education, experience, and training, as "Normal" or "Abnormal - Clinical Symptoms" or "Abnormal - No Clinical Symptoms". Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Body Weight measured in kg, using scale. Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Area Under the Curve (AUC) (0-last): variation of a drug concentration in blood plasma as a function of time, compared across treatment and placebo groups.
Cmax - Maximum Concentration of drug substance in blood plasma, compared across treatment and placebo groups.
tmax - Time to Maximum Concentration of drug substance in blood plasma, compared across treatment and placebo groups.
Time to metabolize 1/2 of dose (eg, half-life) of drug substance, measured in blood plasma, compared across treatment and placebo groups.
Oral Clearance of the drug substance (CL/F), compared across treatment and placebo groups.
Volume of Distribution of the drug substance (V2/F), compared across treatment and placebo groups.
urine sample collection for presence of Keystone parent drug - MYMD1 (Isomyosamine)
Oral temperature, using oral thermometer. Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Pulse rate measured in beats per minute (bpm). Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Sitting diastolic and systolic blood pressure, measured by Karotkoff Cuff in mmHg. Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
Respiratory rate, measured in breaths per minute (bpm). Assessed as number and percent of subjects with clinically significant changes from Baseline, compared across treatment and Placebo groups.
| Arm | Type | Description |
|---|---|---|
| Cohort 1: MYMD1 600mg | EXPERIMENTAL | Subjects randomly assigned to the MYMD1 600mg cohort |
| Cohort 1: Placebo 600mg | PLACEBO_COMPARATOR | Subjects assigned to the 600mg placebo group |
| Cohort 2: MYMD1 750mg | EXPERIMENTAL | Subjects randomly assigned to the MYMD1 750 cohort |
| Cohort 2: Placebo 750mg | PLACEBO_COMPARATOR | Subjects assigned to the 750mg placebo group |
| Cohort 3: MYMD1 900mg | EXPERIMENTAL | Subjects randomly assigned to the MYMD1 900mg cohort |
| Cohort 3: Placebo 900mg | PLACEBO_COMPARATOR | Subjects assigned to the 900mg placebo group |
| Cohort 4: MYMD1 1050mg | ACTIVE_COMPARATOR | Subjects randomly assigned to the MYMD1 1050mg cohort |
| Cohort 4: Placebo group 1050mg | PLACEBO_COMPARATOR | Subjects assigned to the 1050mg placebo group |
| Cohort 1 - Active | EXPERIMENTAL | 6 subjects, randomized to receive 150mg MYMD1 (Isomyosamine), administered as one 150mg capsule on Day 1. |
| Cohort 1 - Placebo | PLACEBO_COMPARATOR | 2 subjects, randomized to receive placebo, administered on Day 1, as one capsule matching the 150mg MYMD1 capsule in appearance. |
| Cohort 2 - Active | EXPERIMENTAL | 6 subjects, randomized to receive 300mg MYMD1 (Isomyosamine), administered as two 150mg capsules on Day 1. |
| Cohort 2 - Placebo | PLACEBO_COMPARATOR | 2 subjects, randomized to receive placebo, administered on Day 1, as two capsules matching the 150mg MYMD1 capsules in appearance. |
| Cohort 3 - Active | EXPERIMENTAL | 6 subjects, randomized to receive 450mg MYMD1 (Isomyosamine), administered as three 150mg capsules on Day 1. |
| Cohort 3 - Placebo | PLACEBO_COMPARATOR | 2 subjects, randomized to receive placebo, administered on Day 1, as three capsules matching the 150mg MYMD1 capsules in appearance. |
| Cohort 4 - Active | EXPERIMENTAL | 6 subjects, randomized to receive 600mg MYMD1 (Isomyosamine), administered as four 150mg capsules each on Days 1, 2, 3, 4, and 5. |
| Cohort 4 - Placebo | PLACEBO_COMPARATOR | 2 subjects, randomized to receive placebo, administered on Days 1, 2, 3, 4, and 5 as four capsules each, matching the 150mg MYMD1 capsules in appearance. |
| Name | Type | Description |
|---|---|---|
| MYMD-1 600MG | DRUG | Cohort 1: 600mg drug |
| MYMD-1 750mg | DRUG | Cohort 2: 750mg drug |
| MYMD-1 900mg | DRUG | Cohort 3: 900mg drug |
| MYMD-1 1050mg | DRUG | Cohort 4: 1050mg drug |
| placebo 600mg | DRUG | Cohort 1: 600mg placebo |
| placebo 750mg | DRUG | Cohort 2: 750mg placebo |
| placebo 900mg | DRUG | Cohort 3: 900mg placebo |
| placebo 1050mg | DRUG | Cohort 4: 1050mg placebo |
| MYMD-1 | DRUG | 150 mg capsule |
| Placebo | DRUG | Matching in appearance to MyMD-1 150mg capsule |
Inclusion Criteria: 1. Aged 65 years or older, at the time of signing the ICF Type of Participant and Disease Characteristics 2. Elevated biomarkers of inflammation (serum IL-6 level ≥2.5 pg/mL and/or sTNFR1 level ≥1500 pg/mL) 3. Low gait speed ≤ 0.8 m/s 4. Short Physical Performance Battery (S...