Rheumatoid ArthritisPhase 1NCT02211469
A Randomized, Placebo-Controlled, Double-Blind, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BMS-986104 in Healthy Male Subjects
A Phase 1 study testing BMS-986104 in people with Rheumatoid Arthritis, run by Bristol-Myers Squibb at 1 site in United States.
Trial summary
The primary objective in this study is to assess if single doses of BMS-986104 that are safe, tolerable, and result in sufficient lymphopenia (50% to 70% reduction in absolute lymphocyte count) can be achieved without bradycardia or other adverse events in healthy male subjects. Read more about this study
- Who is it for?
- Ages 18 to 49 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Rheumatoid Arthritis
- What is being tested?
- BMS-986104
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 41 participants
- Where
- 1 siteUnited States
- Study dates
- Aug 2014to Jul 2015
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 18 to 49 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy male subjects as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory evaluations will be eligible to participate in the study
- Men ages 18 to 49 years, inclusive
Who cannot join
- Any acute or chronic medical illness judged to be clinically-significant by the Investigator and/or Sponsor medical monitor
- Presence of fecal occult blood at screening
- History of prolonged occupational exposure to organic solvents or pesticides
- History of vitamin B12 deficiency and/or achlorhydria; or a vitamin B12 level at screening <lower limit of normal (LLN), confirmed by repeat test
- History of Guillain-Barré Syndrome
- Past or current history of central or peripheral neuropathies, or past or current symptoms of sustained or recurrent paresthesias (tingling), numbness, or neuropathic pain (burning, aching or stabbing) in any extremities. Note: Experiencing an extremity "falling asleep" occasionally is not be exclusionary
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- Clinically significant abnormality in the neurological exam at baseline (predose)
- Clinically significant nerve electrophysiology abnormalities at baseline (predose)
- Any history of testicular or epididymal disease/disorder
- Clinically significant abnormality on ophthalmologic exam or any findings suggesting an increased risk of macular edema at baseline (predose)
- History of hypothyroidism or carpal tunnel syndrome
- Subjects with history of diabetes mellitus
- Subjects with history of any type of heart disease, including ischemia, infarction, arrhythmias, hypertension, atrioventricular block of any degree, bradycardia, syncope, clinically significant ECG abnormalities, or any congenital heart disease
- Subjects with any acute or chronic bacterial, fungal or viral infection within the last 3 months prior to screening, as well as any febrile illness of unknown origin within 14 days of screening
- Subjects who have received any live vaccines within 1 month of study drug administration or who plan to have a live vaccine at any time during the study
- Positive test for tuberculosis at screening (QuantiFERON® GOLD)
Trial locations and contacts
1 site in 1 country.
United States1 site
Covance Clinical Research Unit, Inc.
Madison, Wisconsin, 53704
About this study
The primary objective in this study is to assess if single doses of BMS-986104 that are safe, tolerable, and result in sufficient lymphopenia (50% to 70% reduction in absolute lymphocyte count) can be achieved without bradycardia or other adverse events in healthy male subjects.
- Conditions
- Rheumatoid Arthritis
- Being tested
- BMS-986104, Placebo
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986104Drug
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| Panel 1: BMS-986104 or Placebo | Experimental | BMS-986104 or Placebo single dose by mouth as specified Receives: Drug: BMS-986104; Drug: Placebo |
| Panel 2: BMS-986104 or Placebo | Experimental | BMS-986104 or Placebo single dose by mouth as specified Receives: Drug: BMS-986104; Drug: Placebo |
| Panel 3: BMS-986104 or Placebo | Experimental | BMS-986104 or Placebo single dose by mouth as specified Receives: Drug: BMS-986104; Drug: Placebo |
| Panel 4: BMS-986104 or Placebo | Experimental | BMS-986104 or Placebo single dose by mouth as specified Receives: Drug: BMS-986104; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of all adverse events (AEs) / serious adverse events (SAEs)
Measured: Up to 1 month post discharge
Mean difference in ECG heart rate (HR) nadir values
Measured: Up to 4 days postdose
Nadir absolute lymphocyte count (ALC) defined as the lowest ALC measured at any time after the dose
Measured: Up to 4 days postdose
Secondary outcomes (13)
Safety and tolerability based on severity, investigator causality assessment and outcomes of all AEs (regardless of seriousness criteria), association between AEs and study drug exposure parameters, and physical examination
Measured: Up to 1 month post discharge
Mean difference in ECG HR values in BMS-986104-treated versus placebo-treated healthy male subjects, identifying nadir ECG HR
Measured: Day -1 up to 24h and Days 1-5
Percent reduction in ECG HR
Measured: Day -1 up to 24h and Days 1-5
Time to nadir ECG HR
Measured: Day -1 up to 24h and Days 1-5
Maximum observed blood concentration (Cmax) of BMS-986104
Measured: Up to Day 56
Time of maximum observed blood concentration (Tmax) of BMS-986104
Measured: Up to Day 56
Terminal half-life (T-HALF) of BMS-986104
Measured: Up to Day 56
Area under the blood concentration-time curve from time zero to time of last quantifiable concentration [AUC(0-T)] of BMS-986104
Measured: Up to Day 56
Area under the blood concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-986104
Measured: Up to Day 56
Apparent total clearance (CLT/F) of BMS-986104
Measured: Up to Day 56
Apparent volume of distribution of terminal phase (Vz/F) of BMS-986104
Measured: Up to Day 56
Metabolite to parent AUC(INF) ratio [MR_AUC(INF)] for both BMS-986104 and BMT-019434
Measured: Up to Day 56
Effects of single oral doses of BMS-986104 on the following ALC
- Time to nadir ALC from time 0h (predose)
- Percent reduction in ALC from baseline to nadir
Measured: Up to 4 days postdose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2014 (estimated)
- Study startAug 2014
- Primary completionJul 2015
- Study completionJul 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Rheumatoid ArthritisStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe 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 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02211469
- Sponsor's protocol ID
- IM001-001
- Status last verified
- Apr 2015
- First submitted
- 6 Aug 2014
- Last updated
- 18 Sep 2015
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Sep 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-Controlled, Double-Blind, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BMS-986104 in Healthy Male Subjects
- ClinicalTrials.gov ID
- NCT02211469
- Acronym / sponsor ID
- IM001-001
- Conditions
- Rheumatoid Arthritis
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- Aug 2014
- Primary completion
- Jul 2015 (actual)
- Study completion
- Jul 2015 (actual)
- First posted
- 7 Aug 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective in this study is to assess if single doses of BMS-986104 that are safe, tolerable, and result in sufficient lymphopenia (50% to 70% reduction in absolute lymphocyte count) can be achieved without bradycardia or other adverse events in healthy male subjects.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Panel 1: BMS-986104 or Placebo | Experimental | Drug: BMS-986104, Drug: PlaceboBMS-986104 or Placebo single dose by mouth as specified |
| Panel 2: BMS-986104 or Placebo | Experimental | Drug: BMS-986104, Drug: PlaceboBMS-986104 or Placebo single dose by mouth as specified |
| Panel 3: BMS-986104 or Placebo | Experimental | Drug: BMS-986104, Drug: PlaceboBMS-986104 or Placebo single dose by mouth as specified |
| Panel 4: BMS-986104 or Placebo | Experimental | Drug: BMS-986104, Drug: PlaceboBMS-986104 or Placebo single dose by mouth as specified |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Healthy male subjects as determined by medical history, physical examination, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory evaluations will be eligible to participate in the study
- Men ages 18 to 49 years, inclusive
Key exclusion criteria (16 listed)
- Any acute or chronic medical illness judged to be clinically-significant by the Investigator and/or Sponsor medical monitor
- Presence of fecal occult blood at screening
- History of prolonged occupational exposure to organic solvents or pesticides
- History of vitamin B12 deficiency and/or achlorhydria; or a vitamin B12 level at screening <lower limit of normal (LLN), confirmed by repeat test
- History of Guillain-Barré Syndrome
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 |
|---|---|---|
| BMS-986104 | Drug | Panel 1: BMS-986104 or Placebo, Panel 2: BMS-986104 or Placebo, Panel 3: BMS-986104 or Placebo, Panel 4: BMS-986104 or Placebo |
| Placebo | Drug | Panel 1: BMS-986104 or Placebo, Panel 2: BMS-986104 or Placebo, Panel 3: BMS-986104 or Placebo, Panel 4: BMS-986104 or Placebo |
Primary outcome
Incidence of all adverse events (AEs) / serious adverse events (SAEs)
Time frame: Up to 1 month post discharge
Mean difference in ECG heart rate (HR) nadir values
Time frame: Up to 4 days postdose
Nadir absolute lymphocyte count (ALC) defined as the lowest ALC measured at any time after the dose
Time frame: Up to 4 days postdose
13 secondary outcomes
Safety and tolerability based on severity, investigator causality assessment and outcomes of all AEs (regardless of seriousness criteria), association between AEs and study drug exposure parameters, and physical examination
Time frame: Up to 1 month post discharge
Mean difference in ECG HR values in BMS-986104-treated versus placebo-treated healthy male subjects, identifying nadir ECG HR
Time frame: Day -1 up to 24h and Days 1-5
Percent reduction in ECG HR
Time frame: Day -1 up to 24h and Days 1-5
Time to nadir ECG HR
Time frame: Day -1 up to 24h and Days 1-5
Maximum observed blood concentration (Cmax) of BMS-986104
Time frame: Up to Day 56
Time of maximum observed blood concentration (Tmax) of BMS-986104
Time frame: Up to Day 56
Terminal half-life (T-HALF) of BMS-986104
Time frame: Up to Day 56
Area under the blood concentration-time curve from time zero to time of last quantifiable concentration [AUC(0-T)] of BMS-986104
Time frame: Up to Day 56
Area under the blood concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-986104
Time frame: Up to Day 56
Apparent total clearance (CLT/F) of BMS-986104
Time frame: Up to Day 56
Apparent volume of distribution of terminal phase (Vz/F) of BMS-986104
Time frame: Up to Day 56
Metabolite to parent AUC(INF) ratio [MR_AUC(INF)] for both BMS-986104 and BMT-019434
Time frame: Up to Day 56
Effects of single oral doses of BMS-986104 on the following ALC
Time frame: Up to 4 days postdose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Sep 2015.
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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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BMS-986104 in people with Rheumatoid Arthritis, run by Bristol-Myers Squibb at 1 site in United States.
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 2 inclusion and 16 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 18 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incidence of all adverse events (AEs) / serious adverse events (SAEs) (time frame: Up to 1 month post discharge). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Sep 2015.