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.
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
- Conditions the study is for
- Muscle Wasting (Atrophy) After Hip Fracture Surgery
- 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
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
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
Germany4 sites
Novartis Investigative Site
Bad Abbach, 93077
Novartis Investigative Site
Dresden, 01307
Novartis Investigative Site
Magdeburg, 39110
Novartis Investigative Site
Würzburg, 97074
Russia4 sites
Novartis Investigative Site
Saint Petersburg, 190103
Novartis Investigative Site
Saint Petersburg, 196143
Novartis Investigative Site
Sestroretsk, 197706
Novartis Investigative Site
Yaroslavl, 150003
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
Belgium3 sites
Novartis Investigative Site
Bruges, 8000
Novartis Investigative Site
Genk, 3600
Novartis Investigative Site
Ghent, 9000
Hungary3 sites
Novartis Investigative Site
Budapest, 1062
Novartis Investigative Site
Budapest, 1125
Novartis Investigative Site
Hatvan, 3000
Taiwan3 sites
Novartis Investigative Site
Kaohsiung City, 82445
Novartis Investigative Site
Taipei, 11217
Novartis Investigative Site
Taoyuan, 33305
Colombia2 sites
Novartis Investigative Site
Barranquilla
Novartis Investigative Site
Cali, Valle del Cauca Department
France2 sites
Novartis Investigative Site
Lille, 59037
Novartis Investigative Site
Montpellier, 34295
Mexico2 sites
Novartis Investigative Site
Aguascalientes, 20127
Novartis Investigative Site
San Luis Potosí City, 78200
Turkey (Türkiye)2 sites
Novartis Investigative Site
Istanbul, 34093
Novartis Investigative Site
Izmir, 35040
Argentina1 site
Novartis Investigative Site
Ciudad Autonoma de Bs As, C1128AAF
Australia1 site
Novartis Investigative Site
Bedford Park, South Australia, 5041
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 group | Role | What they receive |
|---|---|---|
| bimagrumab 700 mg | Experimental | Approximately 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 mg | Experimental | Approximately 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 |
| placebo | Placebo comparator | Approximately 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 mg | Experimental | Approximately 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.
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)
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
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
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.
- First posted2 Jun 2014 (estimated)
- Study start16 Sep 2014
- Primary completion14 May 2018
- Study completion25 Oct 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Muscle Wasting (Atrophy) After Hip Fracture SurgeryStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02152761
- Acronym / sponsor ID
- CBYM338D2201
- Keywords
- bimagrumab, BYM338, hip fracture, elderly, controlled clinical trial, randomized, muscle wasting, atrophy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 251 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 16 Sep 2014 (actual)
- Primary completion
- 14 May 2018 (actual)
- Study completion
- 25 Oct 2018 (actual)
- First posted
- 2 Jun 2014 (estimated)
- Results
- Posted 19 Aug 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study was to assess if bimagrumab is safe and effective in patients with muscle wasting (atrophy) after hip fracture surgery.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
- Model description
- randomized, interventional, multicenter, placebo-controlled, phase IIa/IIb trial in patients
| Arm | Type | Receives |
|---|---|---|
| bimagrumab 700 mg | Experimental | Drug: bimagrumabApproximately 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 |
| bimagrumab 210 mg | Experimental | Drug: bimagrumabApproximately 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 |
| placebo | Placebo comparator | Other: placeboApproximately 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 |
| Bimagrumab 70 mg | Experimental | Drug: bimagrumabApproximately 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 |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- 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.
Key exclusion criteria (1 listed)
- 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;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bimagrumabAlso: BYM338Bimagrumab was administered as intravenous infusion starting on Day 1 until week 20. | Drug | Bimagrumab 70 mg, bimagrumab 210 mg, bimagrumab 700 mg |
| placeboMatching placebo was administered as intravenous infusion starting on Day 1 until week 20. | Other | placebo |
Primary outcome
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
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
3 secondary outcomes
Change From Baseline in Gait Speed at Week 24 (Meters/Sec)
Time frame: Baseline, Week 24
Change From Baseline in Short Physical Performance Battery at Weeks 24
Time frame: Week 24
Incidence of Falls up to Week 48
Time frame: Up to Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36098133Hofbauer 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.
- Individual participant dataSharing planned: 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
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
53 sites in 19 countries: see every site and its status.
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.