Study of Efficacy and Safety of Bimagrumab in Patients Af... | NCT02152761 | Trialant
NCT02152761
Sponsor
Novartis Pharmaceuticals
Status
Completed
Last Update Posted
Aug 19, 2020Actual
Enrollment
251Actual
Phase
Phase 2
Conditions
Muscle Wasting (Atrophy) After Hip Fracture Surgery
Interventions
bimagrumab
placebo
Countries
United States
Argentina
Australia
Austria
Belgium
Chile
Colombia
Czechia
France
Germany
Hungary
Japan
Mexico
Russia
Spain
Switzerland
Taiwan
Turkey (Türkiye)
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT02152761
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
CBYM338D2201
Secondary IDs
ID
Type
Description
Link
2013-003439-31
EudraCT Number
Brief Title
Study of Efficacy and Safety of Bimagrumab in Patients After Hip Fracture Surgery
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
Acronym
Not provided
Organization
NovartisINDUSTRY
Status Module
Record Verification Date
Aug 2020
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Sep 16, 2014Actual
Primary Completion Date
May 14, 2018Actual
Completion Date
Oct 25, 2018Actual
First Submitted Date
May 8, 2014
First Submission Date that Met QC Criteria
May 30, 2014
First Posted Date
Jun 2, 2014Estimated
Results Waived
Not provided
Results First Submitted Date
Oct 17, 2019
Results First Submitted that Met QC Criteria
Aug 9, 2020
Results First Posted Date
Aug 19, 2020Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Oct 10, 2018
Certification/Extension First Submitted that Passed QC Review
Oct 10, 2018
Certification/Extension First Posted Date
Oct 12, 2018Actual
Last Update Submitted Date
Aug 9, 2020
Last Update Posted Date
Aug 19, 2020Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Novartis PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief 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.
Detailed Description
Not provided
Conditions Module
Conditions
Muscle Wasting (Atrophy) After Hip Fracture Surgery
Keywords
bimagrumab
BYM338
hip fracture
elderly
controlled clinical trial
randomized
muscle wasting
atrophy
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
251Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
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
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
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
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
Drug: bimagrumab
Interventions
Name
Type
Description
Arm Group Labels
Other Names
bimagrumab
Drug
Bimagrumab was administered as intravenous infusion starting on Day 1 until week 20.
Bimagrumab 70 mg
bimagrumab 210 mg
bimagrumab 700 mg
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
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
baseline, weeks 12 and 24
Secondary Outcomes
Measure
Description
Time Frame
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
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
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.
Exclusion Criteria:
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;
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.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
Plan to Share IPD
Undecided
Description
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.
251 subjects entered treatment epoch and were randomized to one of the three bimagrumab dose groups (70 mg, 210 mg and 700 mg) or the placebo group. 1 from the 210 mg group was randomized in error and did not receive study drug. Of the 250 subjects who were randomized and treated, 207 completed the 24 weeks treatment epoch.
Recruitment Details
384 subjects were screened, and 252 subjects completed Screening period. One was lost to follow-up after screening and did not attend any visits for treatment epoch therefore, 251 were recruited to study. 2 subjects died during Screening epoch (1 was reported as discontinued and 1 was reported as a screen failure)
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Bimagrumab 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
FG001
Bimagrumab 210 mg
bimagrumab 210 mg administered via intravenous infusion from Day 1 until Week 20
Periods
Title
Milestones
Reasons Not Completed
Epoch: Treatment Epoch
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Feb 8, 2018
Oct 17, 2019
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Romania
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
randomized, interventional, multicenter, placebo-controlled, phase IIa/IIb trial in patients
Matching placebo was administered as intravenous infusion starting on Day 1 until week 20.
placebo
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
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
Up to Week 48
El Cajon
California
92020
United States
Novartis Investigative Site
Denver
Colorado
80210
United States
Novartis Investigative Site
Gainesville
Georgia
30501
United States
Novartis Investigative Site
Rochester
Minnesota
55905
United States
Novartis Investigative Site
New York
New York
10021
United States
Novartis Investigative Site
Ciudad Autonoma de Bs As
C1128AAF
Argentina
Novartis Investigative Site
Bedford Park
South Australia
5041
Australia
Novartis Investigative Site
Graz
80 10
Austria
Novartis Investigative Site
Bruges
8000
Belgium
Novartis Investigative Site
Genk
3600
Belgium
Novartis Investigative Site
Ghent
9000
Belgium
Novartis Investigative Site
Santiago
838 0456
Chile
Novartis Investigative Site
Cali
Valle del Cauca Department
Colombia
Novartis Investigative Site
Barranquilla
Colombia
Novartis Investigative Site
Brno
Czech Republic
66250
Czechia
Novartis Investigative Site
Hradec Králové
Czech Republic
500 05
Czechia
Novartis Investigative Site
Pardubice
Czech Republic
532 03
Czechia
Novartis Investigative Site
Pilsen
Czech Republic
30450
Czechia
Novartis Investigative Site
Prague
Czech Republic
150 06
Czechia
Novartis Investigative Site
Prague
100 34
Czechia
Novartis Investigative Site
Lille
59037
France
Novartis Investigative Site
Montpellier
34295
France
Novartis Investigative Site
Bad Abbach
93077
Germany
Novartis Investigative Site
Dresden
01307
Germany
Novartis Investigative Site
Magdeburg
39110
Germany
Novartis Investigative Site
Würzburg
97074
Germany
Novartis Investigative Site
Budapest
1062
Hungary
Novartis Investigative Site
Budapest
1125
Hungary
Novartis Investigative Site
Hatvan
3000
Hungary
Novartis Investigative Site
Nishinomiya
Hyōgo
662-0918
Japan
Novartis Investigative Site
Kamakura
Kanagawa
247-8533
Japan
Novartis Investigative Site
Kochi
Kochi
780-8522
Japan
Novartis Investigative Site
Kumamoto
Kumamoto
862-0976
Japan
Novartis Investigative Site
Okayama
Okayama-ken
701-1192
Japan
Novartis Investigative Site
Toyama
Toyama
939-8511
Japan
Novartis Investigative Site
Aguascalientes
20127
Mexico
Novartis Investigative Site
San Luis Potosí City
78200
Mexico
Novartis Investigative Site
Saint Petersburg
190103
Russia
Novartis Investigative Site
Saint Petersburg
196143
Russia
Novartis Investigative Site
Sestroretsk
197706
Russia
Novartis Investigative Site
Yaroslavl
150003
Russia
Novartis Investigative Site
Seville
Andalusia
41014
Spain
Novartis Investigative Site
Barcelona
Catalonia
08035
Spain
Novartis Investigative Site
Barcelona
Catalonia
08036
Spain
Novartis Investigative Site
Madrid
28049
Spain
Novartis Investigative Site
Geneva
1211
Switzerland
Novartis Investigative Site
Kaohsiung City
82445
Taiwan
Novartis Investigative Site
Taipei
11217
Taiwan
Novartis Investigative Site
Taoyuan
33305
Taiwan
Novartis Investigative Site
Istanbul
34093
Turkey (Türkiye)
Novartis Investigative Site
Izmir
35040
Turkey (Türkiye)
Novartis Investigative Site
Bath
BA1 3NG
United Kingdom
FG002
Bimagrumab 70 mg
bimagrumad 70 mg administered via intravenous infusion starting Day 1 until Week 20
FG003
Placebo
placbo administered via intravenous infusion from Day 1 until Week 20
FG00075 subjects
FG00170 subjects
FG00234 subjects
FG00372 subjects
COMPLETED
FG00064 subjects
FG00150 subjects
FG00229 subjects
FG00364 subjects
NOT COMPLETED
FG00011 subjects
FG00120 subjects
FG0025 subjects
FG0038 subjects
Type
Comment
Reasons
Technical problems
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
Lost to Follow-up
FG0000 subjects
FG0012 subjects
FG0020 subjects
FG0030 subjects
Withdrawal by Subject
FG0007 subjects
FG0018 subjects
FG0023 subjects
FG0035 subjects
Adverse Event
FG0003 subjects
FG0016 subjects
FG0021 subjects
FG0032 subjects
Death
FG0000 subjects
FG0013 subjects
FG0021 subjects
FG0030 subjects
Non-compliance with treatment
FG0001 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
Epoch: Post-treatment Follow-up Epoch
Type
Comment
Milestone Data
STARTED
FG00067 subjects
FG00154 subjects
FG00230 subjects
FG00368 subjects
COMPLETED
FG00063 subjects
FG00147 subjects
FG00230 subjects
FG00366 subjects
NOT COMPLETED
FG0004 subjects
FG0017 subjects
FG0020 subjects
FG0032 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0001 subjects
FG0013 subjects
FG0020 subjects
FG003
The Full Analysis Set (FAS) used for all efficacy analyses consists of all randomized patients who received at least one dose of treatment after randomization and had at least one post-dose efficacy assessment. Patients who were randomized in error were excluded. Patients were analyzed according to treatment they were assigned to at randomization.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Bimagrumab 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
BG001
Bimagrumab 210 mg
bimagrumab 210 mg administered via intravenous infusion from Day 1 until Week 20
BG002
Bimagrumab 70 mg
bimagrumad 70 mg administered via intravenous infusion starting Day 1 until Week 20
BG003
Placebo
placbo administered via intravenous infusion from Day 1 until Week 20
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00075
BG00169
BG00234
BG00372
BG004250
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00076.1± 8.58
BG00174.8± 8.94
BG00276.1± 8.59
BG003
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
< 65 years
Title
Measurements
BG0009
BG0019
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00054
BG00148
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Caucasian
Title
Measurements
BG00057
BG00158
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
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
The Full Analysis Set (FAS) used for all efficacy analyses consists of all randomized patients who received at least one dose of treatment after randomization and had at least one post-dose efficacy assessment. Patients who were randomized in error were excluded. Patients were analyzed according to treatment they were assigned to at randomization.
Posted
Least Squares Mean
Standard Error
kg
baseline, weeks 12 and 24
ID
Title
Description
OG000
Bimagrumab 700 mg
Change from baseline in total LBM
OG001
Bimagrumab 210 mg
Change from baseline in total LBM
OG002
Active Total Efficacy (AT:E)
Change from baseline in total LBM
OG003
Placebo
placebo
Units
Counts
Participants
OG00075
OG00169
OG002144
OG003
Title
Denominators
Categories
week 12
ParticipantsOG00062
ParticipantsOG00152
ParticipantsOG002114
ParticipantsOG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
week 12
Mixed Models Analysis
<.0001
Treatment Group Ratio (BYM - Placebo)
1.057
2-Sided
95
1.037
1.076
Holm-Bonferroni method: Used to adjust the Type I error for two comparisons (BYM338 700 mg/Placebo) at Week 24. No control for multiplicity was made at Week 12.
Superiority
OG001
Secondary
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
The Full Analysis Set (FAS) used for all efficacy analyses consisted of all randomized subjects who received at least 1 dose of investigational drug. Subjects were analyzed according to the treatment they were assigned to at randomization.
Posted
Least Squares Mean
Standard Error
meters per second
Baseline, Week 24
ID
Title
Description
OG000
Bimagrumab 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
OG001
Bimagrumab 210 mg
Secondary
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
The Full Analysis Set (FAS) used for all efficacy analyses consists of all randomized patients who received at least one dose of treatment after randomization and had at least one post-dose efficacy assessment. Patients who were randomized in error were excluded. Patients were analyzed according to treatment they were assigned to at randomization.
Posted
Least Squares Mean
Standard Error
scores on a scale
Week 24
ID
Title
Description
OG000
Bimagrumab 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
Secondary
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
The Full Analysis Set (FAS) used for all efficacy analyses consisted of all randomized subjects who received at least one dose of investigational drug. Subjects were analyzed according to the treatment they were assigned to at randomization
Posted
Least Squares Mean
95% Confidence Interval
Number of Falls per week
Up to Week 48
ID
Title
Description
OG000
Bimagrumab 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
OG001
Bimagrumab 210 mg
bimagrumab 210 mg administered via intravenous infusion from Day 1 until Week 20
OG002
Bimagrumab 70mg
bimagrumab 70 mg administered via intravenous infusion from Day 1 until Week 20
Time Frame
AEs and SAEs were collected for the maximum duration of treatment and follow up for a participant per protocol for approximately 48 weeks. All cause mortality (deaths) was collected from First Patient First Visit (FPFV) to Last Patient Last Visit (LPLV) up to a maximum of 48 weeks
Description
All cause mortality (on-treatment deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of 48 weeks
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
BYM338 700 mg
bimagrumab 700mg administered via intravenous infusion from Day 1 until Week 20
1
75
15
75
47
75
EG001
BYM338 210 mg
bimagrumab 210mg administered via intravenous infusion from Day 1 until Week 20
3
69
17
69
34
69
EG002
BYM338 70 mg
bimagrumab 70 mg via i.v. infusion
1
34
9
34
15
34
EG003
AT:S
Active Total Safety
5
178
41
178
96
178
EG004
Placebo
placebo administered via intravenous infusion from Day 1 until Week 20
1
72
9
72
30
72
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG0031 affected178 at risk
EG0040 affected72 at risk
Leukocytosis
Blood and lymphatic system disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0011 affected69 at risk
EG0021 affected34 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Retinal haemorrhage
Eye disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Diarrhoea
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Duodenogastric reflux
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Dyspepsia
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Gastrooesophageal reflux disease
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Haematochezia
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Multiple organ dysfunction syndrome
General disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Oedema peripheral
General disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Pyrexia
General disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Cholecystitis acute
Hepatobiliary disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Cholelithiasis
Hepatobiliary disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Bronchitis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0011 affected69 at risk
EG0021 affected34 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Empyema
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Enterobacter infection
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Erysipelas
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Escherichia urinary tract infection
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Gastroenteritis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Peritonitis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Pneumonia
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0021 affected34 at risk
EG003
Salpingo-oophoritis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Septic shock
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Urosepsis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Hip fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0002 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Lower limb fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Lumbar vertebral fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Radius fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Spinal fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Thoracic vertebral fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Tibia fracture
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Osteonecrosis
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Pseudarthrosis
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Bladder cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Cholangiocarcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Cerebral infarction
Nervous system disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Cerebrovascular accident
Nervous system disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Transient ischaemic attack
Nervous system disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Device breakage
Product Issues
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Device dislocation
Product Issues
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Device extrusion
Product Issues
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Depression
Psychiatric disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Acute kidney injury
Renal and urinary disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Chronic obstructive pulmonary disease
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0011 affected69 at risk
EG0021 affected34 at risk
EG003
Pneumonia aspiration
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Pulmonary congestion
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Pulmonary embolism
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Pulmonary oedema
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0021 affected34 at risk
EG003
Respiratory failure
Respiratory, thoracic and mediastinal disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Haematoma
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Hypertension
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0020 affected34 at risk
EG003
Hypotension
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0021 affected34 at risk
EG003
Varicose vein
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Diarrhoea
Gastrointestinal disorders
MedDRA (21.1)
Systematic Assessment
EG0007 affected75 at risk
EG0014 affected69 at risk
EG0020 affected34 at risk
EG00311 affected178 at risk
EG0041 affected72 at risk
Oedema peripheral
General disorders
MedDRA (21.1)
Systematic Assessment
EG0009 affected75 at risk
EG0013 affected69 at risk
EG0021 affected34 at risk
EG003
Bronchitis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0011 affected69 at risk
EG0022 affected34 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0005 affected75 at risk
EG0011 affected69 at risk
EG0022 affected34 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA (21.1)
Systematic Assessment
EG0008 affected75 at risk
EG0013 affected69 at risk
EG0022 affected34 at risk
EG003
Contusion
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG0003 affected75 at risk
EG0011 affected69 at risk
EG0020 affected34 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA (21.1)
Systematic Assessment
EG00014 affected75 at risk
EG00112 affected69 at risk
EG0026 affected34 at risk
EG003
Weight decreased
Investigations
MedDRA (21.1)
Systematic Assessment
EG0004 affected75 at risk
EG0014 affected69 at risk
EG0021 affected34 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
MedDRA (21.1)
Systematic Assessment
EG0000 affected75 at risk
EG0010 affected69 at risk
EG0022 affected34 at risk
EG003
Arthralgia
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0008 affected75 at risk
EG0016 affected69 at risk
EG0025 affected34 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0004 affected75 at risk
EG0015 affected69 at risk
EG0021 affected34 at risk
EG003
Muscle spasms
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG00012 affected75 at risk
EG00117 affected69 at risk
EG0022 affected34 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0002 affected75 at risk
EG0011 affected69 at risk
EG0022 affected34 at risk
EG003
Cognitive disorder
Nervous system disorders
MedDRA (21.1)
Systematic Assessment
EG0001 affected75 at risk
EG0014 affected69 at risk
EG0020 affected34 at risk
EG003
Rash
Skin and subcutaneous tissue disorders
MedDRA (21.1)
Systematic Assessment
EG0003 affected75 at risk
EG0010 affected69 at risk
EG0022 affected34 at risk
EG003
Hypertension
Vascular disorders
MedDRA (21.1)
Systematic Assessment
EG0003 affected75 at risk
EG0012 affected69 at risk
EG0022 affected34 at risk
EG003
As there were no statistically significant improvements in functional measures (i.e. gait speed, SPPB) at week 24, the need to test for sustained improvement at wk 48 became irrelevant. So, wk 48 treatment differences were not evaluated
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
OTHER
Results Disclosure Restriction on PI(s)?
Yes
Other Details
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e.; data from all sites) in the clinical trial.
Holm-Bonferroni method: Used to adjust the Type I error for two comparisons (BYM338 700 mg/Placebo) at Week 24. No control for multiplicity was made at Week 12.
Superiority
bimagrumab 210 mg administered via intravenous infusion from Day 1 until Week 20
OG002
Placebo
placbo administered via intravenous infusion from Day 1 until Week 20
Units
Counts
Participants
OG00075
OG00169
OG00272
Title
Denominators
Categories
Title
Measurements
OG0000.268± 0.0599
OG0010.350± 0.0617
OG0020.339± 0.0607
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
week 24
Mixed Models Analysis
0.1829
Treatment Difference (BYM-Placebo)
LS Mean of Treatment Difference
-0.071
2-Sided
95
-0.175
0.034
Superiority
OG001
OG002
week 24
Mixed Models Analysis
0.8365
LS Mean of Treatment Difference
0.011
2-Sided
95
-0.096
0.119
Superiority
OG001
Bimagrumab 210 mg
bimagrumab 210 mg administered via intravenous infusion from Day 1 until Week 20
OG002
Placebo
placbo administered via intravenous infusion from Day 1 until Week 20
Units
Counts
Participants
OG00075
OG00169
OG00272
Title
Denominators
Categories
Title
Measurements
OG0002.331± 0.5436
OG0013.535± 0.5623
OG0022.702± 0.5516
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
week 24
Mixed Models Analysis
0.5802
LS Mean of Treatment Difference
-0.371
2-Sided
95
-1.311
1.053
Superiority
OG001
OG002
week 24
Mixed Models Analysis
0.0913
LS Mean of the Treatment Difference
0.833
2-Sided
95
-0.135
1.801
Superiority
OG003
Placebo
placbo administered via intravenous infusion from Day 1 until Week 20