EudraCT Number 2019-004186-40 - Clinical trial results (2024)

Summary

EudraCT number

2019-004186-40

Trial protocol

GB NL GR PL

Global end of trial date

19 Jul 2021


Results information

Results version number

v1(current)

This version publication date

22 Jul 2022

First version publication date

22 Jul 2022

Other versions

Trial information

EudraCT Number 2019-004186-40 - Clinical trial results (1) Top of page

Trial identification

Sponsor protocol code

CV019-010

Additional study identifiers

ISRCTN number

-

US NCT number

-

WHO universal trial number (UTN)

-

Sponsors

Sponsor organisation name

Bristol-Myers Squibb

Sponsor organisation address

Chaussée de la Hulpe 185, Brussels, Belgium, 1170

Public contact

EU Study Start-Up Unit, Bristol-Myers Squibb International Corporation, Clinical.Trials@bms.com

Scientific contact

Bristol-Myers Squibb Study Director, Bristol-Myers Squibb, Clinical.Trials@bms.com

Paediatric regulatory details

Is trial part of an agreed paediatric investigation plan (PIP)

No

Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?

No

Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?

No

Results analysis stage

Analysis stage

Final

Date of interim/final analysis

05 Nov 2021

Is this the analysis of the primary completion data?

No

Global end of trial reached?

Yes

Global end of trial date

19 Jul 2021

Was the trial ended prematurely?

Yes

General information about the trial

Main objective of the trial

To establish safety & tolerability of BMS-986259 when initiated in-hospital in participants stabilized after an admission for ADHF

Protection of trial subjects

The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Conference on Harmonization Good Clinical Practice Guidelines. All the local regulatory requirements pertinent to safety of trial participants were followed.

Background therapy

-

Evidence for comparator

-

Actual start date of recruitment

06 Nov 2020

Long term follow-up planned

No

Independent data monitoring committee (IDMC) involvement?

No

Population of trial subjects

Number of subjects enrolled per country

Country: Number of subjects enrolled

Argentina: 6

Country: Number of subjects enrolled

Czechia: 1

Country: Number of subjects enrolled

Greece: 5

Country: Number of subjects enrolled

Poland: 13

Worldwide total number of subjects

25

EEA total number of subjects

19

Number of subjects enrolled per age group

In utero

Preterm newborn - gestational age < 37 wk

Newborns (0-27 days)

Infants and toddlers (28 days-23 months)

Children (2-11 years)

Adolescents (12-17 years)

Adults (18-64 years)

10

From 65 to 84 years

14

85 years and over

1

Subject disposition

EudraCT Number 2019-004186-40 - Clinical trial results (2) Top of page

Recruitment

Recruitment details

-

Pre-assignment

Screening details

25 participants were randomized and treated.

Period 1

Period 1 title

Overall Study (overall period)

Is this the baseline period?

Yes

Allocation method

Randomised - controlled

Blinding used

Double blind

Roles blinded

Subject, Investigator, Monitor, Carer, Data analyst, Assessor

Arms

Are arms mutually exclusive

Yes


Arm title

Placebo

Arm description

Placebo matching BMS-986259

Arm type

Placebo

Investigational medicinal product name

Placebo matching BMS-986259

Investigational medicinal product code

Other name

Pharmaceutical forms

Solution for injection

Routes of administration

Subcutaneous use

Dosage and administration details

1 mL QD for 14 days


Arm title

BMS-986259 3 mg

Arm description

BMS-986259 administered subcutaneously QD for 14 days

Arm type

Experimental

Investigational medicinal product name

BMS-986259

Investigational medicinal product code

Other name

Pharmaceutical forms

Solution for injection

Routes of administration

Subcutaneous use

Dosage and administration details

3 mg QD for 14 days


Number of subjects in period 1

Placebo BMS-986259 3 mg

Started

13

12

Completed

10

9

Not completed

3

3

Participant withdrew consent

1

-

Adverse event, non-fatal

2

2

Other reasons

-

1

Baseline characteristics

EudraCT Number 2019-004186-40 - Clinical trial results (3) Top of page

Baseline characteristics reporting groups

Reporting group title

Placebo

Reporting group description

Placebo matching BMS-986259

Reporting group title

BMS-986259 3 mg

Reporting group description

BMS-986259 administered subcutaneously QD for 14 days

Reporting group values

Placebo BMS-986259 3 mg Total

Number of subjects

13 12 25

Age Categorical

Units: Participants

<=18 years

0 0 0

Between 18 and 65 years

4 6 10

>=65 years

9 6 15

Age Continuous

Units: Years

arithmetic mean (standard deviation)

65.1 ± 12.18 63.1 ± 15.65 -

Sex: Female, Male

Units: Participants

Female

4 3 7

Male

9 9 18

Race (NIH/OMB)

Units: Subjects

American Indian or Alaska Native

0 0 0

Asian

0 0 0

Native Hawaiian or Other Pacific Islander

0 0 0

Black or African American

0 0 0

White

13 12 25

More than one race

0 0 0

Unknown or Not Reported

0 0 0

End points

EudraCT Number 2019-004186-40 - Clinical trial results (4) Top of page

End points reporting groups

Reporting group title

Placebo

Reporting group description

Placebo matching BMS-986259

Reporting group title

BMS-986259 3 mg

Reporting group description

BMS-986259 administered subcutaneously QD for 14 days

Primary: Percentage of Participants Experiencing Clinically Relevant Hypotension

EudraCT Number 2019-004186-40 - Clinical trial results (5) Top of page

End point title

Percentage of Participants Experiencing Clinically Relevant Hypotension [1]

End point description

Clinically Relevant Hypotension is defined as any of the following:- Supine Systolic Blood Pressure (SBP) <85 mmHg (confirmed by repeat measurement within 30 minutes), regardless of symptoms of hypotension- Supine SBP <90 mmHg (confirmed by repeat measurement within 30 minutes) AND symptoms of hypotension (eg, dizziness, lightheadedness, etc).

End point type

Primary

End point timeframe

From first dose to 30 days following first dose

Notes
[1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
Justification: No statistical analyses were performed for this endpoint.

End point values

Placebo BMS-986259 3 mg

Number of subjects analysed

13

12

Units: Percent of participants

number (not applicable)

15.4

16.7

No statistical analyses for this end point

Secondary: Maximum Observed Serum Concentration (Cmax)

EudraCT Number 2019-004186-40 - Clinical trial results (6) Top of page

End point title

Maximum Observed Serum Concentration (Cmax) [2]

End point description

End point type

Secondary

End point timeframe

Day 1 and Day 5 of study treatment

Notes
[2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
Justification: Values can be reported only for participants who received study drug.

End point values

BMS-986259 3 mg

Number of subjects analysed

12

Units: ng/mL

geometric mean (geometric coefficient of variation)

Day 1

105 ± 49

Day 5

268 ± 31

No statistical analyses for this end point

Secondary: Time of Maximum Observed Serum Concentration (Tmax)

EudraCT Number 2019-004186-40 - Clinical trial results (7) Top of page

End point title

Time of Maximum Observed Serum Concentration (Tmax) [3]

End point description

End point type

Secondary

End point timeframe

Day 1 and Day 5 of study treatment

Notes
[3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
Justification: Values can be reported only for participants who received study drug.

End point values

BMS-986259 3 mg

Number of subjects analysed

12

Units: Hours

median (full range (min-max))

Day 1

11.0 (7.00 to 23.3)

Day 5

7.97 (5.00 to 24.0)

No statistical analyses for this end point

Secondary: Area Under the Concentration-Time Curve Within a Dosing Interval (AUC(TAU))

EudraCT Number 2019-004186-40 - Clinical trial results (8) Top of page

End point title

Area Under the Concentration-Time Curve Within a Dosing Interval (AUC(TAU)) [4]

End point description

End point type

Secondary

End point timeframe

Day 1 and Day 5 of study treatment

Notes
[4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
Justification: Values can be reported only for participants who received study drug.

End point values

BMS-986259 3 mg

Number of subjects analysed

12

Units: h*ng/mL

geometric mean (geometric coefficient of variation)

Day 1

1778 ± 40

Day 5

5156 ± 36

No statistical analyses for this end point

Secondary: Trough Concentration (Ctrough)

EudraCT Number 2019-004186-40 - Clinical trial results (9) Top of page

End point title

Trough Concentration (Ctrough) [5]

End point description

End point type

Secondary

End point timeframe

Day 2 through Day 14 of study treatment

Notes
[5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
Justification: Values can be reported only for participants who received study drug.

End point values

BMS-986259 3 mg

Number of subjects analysed

11

Units: ng/mL

geometric mean (geometric coefficient of variation)

Day 2

79.9 ± 36.0

Day 3

145 ± 32.3

Day 4

181 ± 28.9

Day 5

185 ± 32.4

Day 6

210 ± 27.3

Day 7

260 ± 41.3

Day 8

226 ± 69.4

Day 9

252 ± 48.1

Day 10

259 ± 49.7

Day 12

229 ± 22.9

Day 13

248 ± 50.5

Day 14

246 ± 7.53

No statistical analyses for this end point

Adverse events

EudraCT Number 2019-004186-40 - Clinical trial results (10) Top of page

Adverse events information

Timeframe for reporting adverse events

All-cause mortality was assessed from first dose to study completion date (up to approximately 8 months).SAEs and NSAEs were assessed from first dose to 30 days following first dose.

Assessment type

Systematic

Dictionary used for adverse event reporting

Dictionary name

MedDRA

Dictionary version

24.1

Reporting groups

Reporting group title

BMS986259 3 mg

Reporting group description

BMS-986259 administered subcutaneously QD for 14 days

Reporting group title

Placebo

Reporting group description

Placebo matching BMS-986259

Serious adverse events

BMS986259 3 mg Placebo

Total subjects affected by serious adverse events

subjects affected / exposed

2 / 12 (16.67%)

5 / 13 (38.46%)

number of deaths (all causes)

2

number of deaths resulting from adverse events

Cardiac disorders

Cardiac failure

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 0

Cardiac failure chronic

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 0

Cardiogenic shock

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 1

Ventricular tachycardia

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 0

Respiratory, thoracic and mediastinal disorders

Acute respiratory failure

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 2

deaths causally related to treatment / all

0 / 0

0 / 1

Renal and urinary disorders

Acute kidney injury

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 0

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 0

Infections and infestations

COVID-19

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences causally related to treatment / all

0 / 1

0 / 0

deaths causally related to treatment / all

0 / 0

0 / 0

COVID-19 pneumonia

subjects affected / exposed

1 / 12 (8.33%)

1 / 13 (7.69%)

occurrences causally related to treatment / all

0 / 1

0 / 1

deaths causally related to treatment / all

0 / 0

0 / 1

Frequency threshold for reporting non-serious adverse events: 5%

Non-serious adverse events

BMS986259 3 mg Placebo

Total subjects affected by non serious adverse events

subjects affected / exposed

8 / 12 (66.67%)

3 / 13 (23.08%)

Investigations

Blood creatinine increased

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences all number

1

Injury, poisoning and procedural complications

Procedural haemorrhage

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

1

Vascular disorders

Hypotension

subjects affected / exposed

3 / 12 (25.00%)

1 / 13 (7.69%)

occurrences all number

3

2

Cardiac disorders

Sinus tachycardia

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

1

Nervous system disorders

Dizziness

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences all number

1

Blood and lymphatic system disorders

Haemoconcentration

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences all number

1

Gastrointestinal disorders

Diarrhoea

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences all number

1

Reproductive system and breast disorders

Genital haemorrhage

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

1

Musculoskeletal and connective tissue disorders

Muscle spasms

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

2

Infections and infestations

Pneumonia

subjects affected / exposed

0 / 12 (0.00%)

1 / 13 (7.69%)

occurrences all number

1

Metabolism and nutrition disorders

Hyperkalaemia

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

1

Hypokalaemia

subjects affected / exposed

1 / 12 (8.33%)

0 / 13 (0.00%)

occurrences all number

1

More information

EudraCT Number 2019-004186-40 - Clinical trial results (11) Top of page

Substantial protocol amendments (globally)

Were there any global substantial amendments to the protocol? Yes

Date

Amendment

28 Oct 2020

Added safety measures in response to the Coronavirus disease 2019 (COVID-19) pandemic

Interruptions (globally)

Were there any global interruptions to the trial? No

Limitations and caveats

Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
None reported
EudraCT Number 2019-004186-40 - Clinical trial results (2024)
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