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Muscle Wasting (Atrophy) After Hip Fracture SurgeryPhase 2NCT02152761

Study of Efficacy and Safety of Bimagrumab in Patients After Hip Fracture Surgery

A Phase 2 study testing bimagrumab in people with Muscle Wasting (Atrophy) After Hip Fracture Surgery, run by Novartis Pharmaceuticals at 53 sites in 19 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to assess if bimagrumab is safe and effective in patients with muscle wasting (atrophy) after hip fracture surgery. Read more about this study

Who is it for?
Ages 60 years and older
What is being tested?
bimagrumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
251 participants
Where
53 sitesin 19 countries
Study dates
16 Sep 2014to 25 Oct 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must have X-ray confirmed successful hip fracture repair; Must have completed surgical wound healing; Ability to walk a specified distance with or without a walking aid; Must weigh at least 35 kg.

Who cannot join

  • Must not have history of any other lower limb fractures in the past 6 months; Must not have certain cardiovascular conditions; Must not have a chronic active infection (e.g. HIV, hepatitis B or C, etc); Must not have used high-dose corticosteroid medications for at least 3 months in the past year;

Trial locations and contacts

53 sites in 19 countries.

53 sites in 19 countries

United States6 sites
  • Novartis Investigative Site

    Denver, Colorado, 80210

  • Novartis Investigative Site

    El Cajon, California, 92020

  • Novartis Investigative Site

    Gainesville, Georgia, 30501

  • Novartis Investigative Site

    New York, New York, 10021

  • Novartis Investigative Site

    Phoenix, Arizona, 85023

  • Novartis Investigative Site

    Rochester, Minnesota, 55905

Other trials in United States

Czechia6 sites
  • Novartis Investigative Site

    Brno, Czech Republic, 66250

  • Novartis Investigative Site

    Hradec Králové, Czech Republic, 500 05

  • Novartis Investigative Site

    Pardubice, Czech Republic, 532 03

  • Novartis Investigative Site

    Pilsen, Czech Republic, 30450

  • Novartis Investigative Site

    Prague, Czech Republic, 150 06

  • Novartis Investigative Site

    Prague, 100 34

Other trials in Czechia

Japan6 sites
  • Novartis Investigative Site

    Kamakura, Kanagawa, 247-8533

  • Novartis Investigative Site

    Kochi, Kochi, 780-8522

  • Novartis Investigative Site

    Kumamoto, Kumamoto, 862-0976

  • Novartis Investigative Site

    Nishinomiya, Hyōgo, 662-0918

  • Novartis Investigative Site

    Okayama, Okayama-ken, 701-1192

  • Novartis Investigative Site

    Toyama, Toyama, 939-8511

Other trials in Japan

Germany4 sites
  • Novartis Investigative Site

    Bad Abbach, 93077

  • Novartis Investigative Site

    Dresden, 01307

  • Novartis Investigative Site

    Magdeburg, 39110

  • Novartis Investigative Site

    Würzburg, 97074

Other trials in Germany

Russia4 sites
  • Novartis Investigative Site

    Saint Petersburg, 190103

  • Novartis Investigative Site

    Saint Petersburg, 196143

  • Novartis Investigative Site

    Sestroretsk, 197706

  • Novartis Investigative Site

    Yaroslavl, 150003

Other trials in Russia

Spain4 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Barcelona, Catalonia, 08036

  • Novartis Investigative Site

    Madrid, 28049

  • Novartis Investigative Site

    Seville, Andalusia, 41014

Other trials in Spain

Belgium3 sites
  • Novartis Investigative Site

    Bruges, 8000

  • Novartis Investigative Site

    Genk, 3600

  • Novartis Investigative Site

    Ghent, 9000

Other trials in Belgium

Hungary3 sites
  • Novartis Investigative Site

    Budapest, 1062

  • Novartis Investigative Site

    Budapest, 1125

  • Novartis Investigative Site

    Hatvan, 3000

Other trials in Hungary

Taiwan3 sites
  • Novartis Investigative Site

    Kaohsiung City, 82445

  • Novartis Investigative Site

    Taipei, 11217

  • Novartis Investigative Site

    Taoyuan, 33305

Other trials in Taiwan

Colombia2 sites
  • Novartis Investigative Site

    Barranquilla

  • Novartis Investigative Site

    Cali, Valle del Cauca Department

Other trials in Colombia

France2 sites
  • Novartis Investigative Site

    Lille, 59037

  • Novartis Investigative Site

    Montpellier, 34295

Other trials in France

Mexico2 sites
  • Novartis Investigative Site

    Aguascalientes, 20127

  • Novartis Investigative Site

    San Luis Potosí City, 78200

Other trials in Mexico

Turkey (Türkiye)2 sites
  • Novartis Investigative Site

    Istanbul, 34093

  • Novartis Investigative Site

    Izmir, 35040

Other trials in Turkey (Türkiye)

Argentina1 site
  • Novartis Investigative Site

    Ciudad Autonoma de Bs As, C1128AAF

Other trials in Argentina

Australia1 site
  • Novartis Investigative Site

    Bedford Park, South Australia, 5041

Other trials in Australia

Austria1 site
  • Novartis Investigative Site

    Graz, 80 10

Other trials in Austria

Chile1 site
  • Novartis Investigative Site

    Santiago, 838 0456

Other trials in Chile

Switzerland1 site
  • Novartis Investigative Site

    Geneva, 1211

Other trials in Switzerland

United Kingdom1 site
  • Novartis Investigative Site

    Bath, BA1 3NG

Other trials in United Kingdom

About this study

Official title: A 24-week Double-blind Treatment and 24-week Follow-up, Randomized, Multicenter, Placebo-controlled, Phase IIa/IIb Study to Evaluate Safety and Efficacy of i.v. Bimagrumab on Total Lean Body Mass and Physical Performance in Patients After Surgical Treatment of Hip Fracture

The purpose of this study was to assess if bimagrumab is safe and effective in patients with muscle wasting (atrophy) after hip fracture surgery.

Being tested
bimagrumab, placebo
Keywords
bimagrumab, BYM338, hip fracture, elderly, controlled clinical trial, randomized, muscle wasting, atrophy
Medical subject headings
Muscular Atrophy, Atrophy, Hip Fractures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • bimagrumabDrug

    Also called BYM338

    Bimagrumab was administered as intravenous infusion starting on Day 1 until week 20.

  • placeboOther

    Matching placebo was administered as intravenous infusion starting on Day 1 until week 20.

Study groups in NCT02152761
Study groupRoleWhat they receive
bimagrumab 700 mgExperimentalApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria were treated with the bimagrumab high dose administered via intravenous infusion starting Day 1 until Week 20
Receives: Drug: bimagrumab
bimagrumab 210 mgExperimentalApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria were treated with the bimagrumab medium dose administered via intravenous infusion starting Day 1 until Week 20
Receives: Drug: bimagrumab
placeboPlacebo comparatorApproximately 70 patients who met all inclusion criteria and none of the exclusion criteria received matching placbo administered via intravenous infusion starting Day 1 until Week 20
Receives: Other: placebo
Bimagrumab 70 mgExperimentalApproximately 35 patients who met all inclusion criteria and none of the exclusion criteria were treated with bimagrumad low dose administered via intravenous infusion starting Day 1 until Week 20
Receives: Drug: bimagrumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Total Lean Body Mass Measured by DXA (Dual-energy X-ray Absorptiometry) at Weeks 12 and 24

    Mixed Model for Repeated Measures (MMRM) of change from baseline in total LBM (kg) by treatment and visit To assess dose-response relationship of bimagrumab and facilitate an adequate dose selection for future phase III studies, without the need for supportive data from another dose-response finding study, at least three doses were required, ranging from a non-effective or minimally effective dose to a dose where maximal efficacy is expected. Original study was initiated with only two doses of bimagrumab, therefore, a lower dose arm of 70mg has been added to this study with Amendment 2, changing the randomization ratio from 1:1:1 to 2:1:2:2 to either placebo, bimagrumab 70mg, bimagrumab 210mg, or bimagrumab 700mg. Since the 70mg dose was expected to show suboptimal efficacy and fewer patients were randomized to this group, it was used only for dose response modelling and not for hypothesis testing. Consequently, no efficacy evaluations for the bimagrumab 70mg Arm were performed

    Measured: baseline, weeks 12 and 24

Secondary outcomes (3)
  1. Change From Baseline in Gait Speed at Week 24 (Meters/Sec)

    Mixed Model for Repeated Measures (MMRM) of change from baseline in derived gait speed (m/sec) by treatment and visit

    To assess dose-response relationship of bimagrumab and facilitate an adequate dose selection for future phase III studies, without the need for supportive data from another dose-response finding study, at least 3 doses were required, ranging from a non-effective or minimally effective dose to a dose where maximal efficacy is expected. Original study was initiated with only two doses of bimagrumab, therefore, a lower dose arm of 70mg was added to this study with Amendment 2, changing the randomization ratio from 1:1:1 to 2:1:2:2 to either placebo, bimagrumab 70mg, bimagrumab 210mg, or bimagrumab 700mg. Since the 70mg dose was expected to show suboptimal efficacy and fewer patients were randomized to this group, it was used only for dose response modelling and not for hypothesis testing. Consequently, no efficacy evaluations for the bimagrumab 70mg Arm were performed

    Measured: Baseline, Week 24

  2. Change From Baseline in Short Physical Performance Battery at Weeks 24

    MMRM change from baseline in total score by treatment \& visit to Week 24 in physical performance measured by Short Physical Performance Battery (SPPB) that evaluates lower extremity function. Score range is 0 (worst performance) to 12 (best) to assess dose-response relationship of bimagrumab \& facilitate adequate dose selection for future phase III studies, without need for supportive data from another dose-response finding study, at least 3 doses were required, ranging from non- or minimally effective dose to a dose where maximal efficacy was expected. Original study was initiated with only 2 doses, therefore, lower 70mg arm was added to this study, changing randomization ratio from 1:1:1 to 2:1:2:2 to either placebo, bimagrumab 70mg, 210mg, or 700mg. Since 70mg dose was expected to show suboptimal efficacy, fewer patients were randomized to this group \& it was used only for dose response modelling \& not hypothesis testing. Consequently, no efficacy evaluation for 70mg were performed

    Measured: Week 24

  3. Incidence of Falls up to Week 48

    Group falls rate

    The frequency of having at least one fall up to Week 48 was summarized by treatment groups

    Incidence of falls was calculated for each arm up to Week 48. The ratio of these fall rates versus Placebo were calculated and presented as the Falls Rate Ratio. As mentioned in comment 5.1 above, the Falls Rate Ratio for Placebo does not apply because it would entail comparing the group to itself

    Measured: Up to Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2014 (estimated)
  2. Study start16 Sep 2014
  3. Primary completion14 May 2018
  4. Study completion25 Oct 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
randomized, interventional, multicenter, placebo-controlled, phase IIa/IIb trial in patients
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
251 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02152761
Sponsor's protocol ID
CBYM338D2201
Other IDs
2013-003439-31
Status last verified
Aug 2020
First submitted
8 May 2014
Last updated
19 Aug 2020
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Publications

  • Hofbauer LC, Witvrouw R, Varga Z, Shiota N, Cremer M, Tanko LB, Rooks D, Auberson LZ, Arkuszewski M, Fretault N, Schubert-Tennigkeit AA, Papanicolaou DA, Recknor C. Bimagrumab to improve recovery after hip fracture in older adults: a multicentre, double-blind, randomised, parallel-group, placebo-controlled, phase 2a/b trial. Lancet Healthy Longev. 2021 May;2(5):e263-e274. doi: 10.1016/S2666-7568(21)00084-2.

    PubMed 36098133

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing bimagrumab in people with Muscle Wasting (Atrophy) After Hip Fracture Surgery, run by Novartis Pharmaceuticals at 53 sites in 19 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Czechia, Japan, Germany, Russia and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Total Lean Body Mass Measured by DXA (Dual-energy X-ray Absorptiometry) at Weeks 12 and 24 (time frame: baseline, weeks 12 and 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02152761, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2020.

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