A Study to Evaluate BMS-986036 in Obese Adults With Type-2 Diabetes

Sponsor
Bristol-Myers Squibb (Industry)
Overall Status
Completed
CT.gov ID
NCT02097277
Collaborator
(none)
219
16
5
25.1
13.7
0.5

Study Details

Study Description

Brief Summary

The purpose of this study is to assess the potential of BMS-986036 for treatment obese adults with type-2 diabetes.

Condition or Disease Intervention/Treatment Phase
  • Biological: BMS-986036
  • Biological: Placebo (Matching with BMS-986036)
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
219 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-blind, Placebo-controlled, Parallel-group, Multiple Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamic Effects of BMS-986036 in Obese Adults With Type-2 Diabetes
Actual Study Start Date :
Apr 15, 2014
Actual Primary Completion Date :
Sep 22, 2015
Actual Study Completion Date :
May 17, 2016

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Treatment A: Placebo (Matching with BMS-986036 - Daily)

Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks

Biological: Placebo (Matching with BMS-986036)

Experimental: Arm 2: Treatment B: BMS-986036 (1 mg Daily)

BMS-986036 1 mg subcutaneous injection once daily for 12 weeks

Biological: BMS-986036

Experimental: Treatment C: BMS-986036 (5 mg Daily)

BMS-986036 5 mg subcutaneous injection once daily for 12 weeks

Biological: BMS-986036

Experimental: Treatment D: BMS-986036 (20 mg Daily)

BMS-986036 20 mg subcutaneous injection once daily for 12 weeks

Biological: BMS-986036

Experimental: Treatment E: BMS-986036 (20 mg Weekly)

BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks Followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks

Biological: BMS-986036

Biological: Placebo (Matching with BMS-986036)

Outcome Measures

Primary Outcome Measures

  1. Percent Change in Glycosylated Hemoglobin A1c (HbA1c) From Baseline to Week 12 [Baseline (Day 1) and Week 12]

    HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Percent Change in Glycosylated Hemoglobin A1c (HbA1c) from Baseline to Week 12 was reported.

Secondary Outcome Measures

  1. Change in Body Weight From Baseline to Week 12 [Baseline (Day 1) and Week 12]

    Change in Body Weight from Baseline to Week 12 as a part of Physical measurement was reported.

  2. Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Composite Index of Insulin Sensitivity (CISI) (Matsuda Index) [Baseline (Day 1) and Week 12]

    Whole body insulin sensitivity as quantified by Matsuda Index at the end of the treatment period, calculated by the following equation: 10,000/square root of(FPG*FI)*(FPG+PG30*2+PG60*3+PG120*2)/8*(FPI+PI30*2+PI60*3+PI120*2)/8). FPG=fasting plasma glucose level; FPI=fasting plasma insulin level; PG30,60,90, and 120=plasma glucose levels sampled at 30,60, and 120 minutes after oral glucose load; PI30,60,and 120=plasma insulin levels sampled at 30,60 and 120 minutes after the oral glucose load.

  3. Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) [Baseline (Day 1) and Week 12]

    Homeostasis model assessment of insulin resistance (HOMA-IR) was used as a validated measure of insulin resistance. HOMA-IR is calculated using the following formula's fasting glucose(mg/dL) x fasting insulin(mU/L) / 405.

  4. Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Quantitative Insulin Sensitivity Check Index (QUICKI) [Baseline (Day 1) and Week 12]

    The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. QUICKI is derived using the inverse of the sum of the logarithms of the fasting insulin and fasting glucose: 1 / (log(fasting insulin mU/L) + log(fasting glucose mg/dL)).

  5. Change in Oral Glucose Tolerance Test (OGTT) Area Under the Curve From 0 to 2 Hours for Postprandial Glucose From Baseline to Week 12 [Baseline (Day 1) and Week 12]

    Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. Plasma Glucose levels over 2 hours were shown as Area Under the Curve, (AUC).

  6. Change in OGTT Insulin AUC (0-2 Hours) From Baseline to Week 12 [Bseline (Day 1) and Week 12]

    Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. Insulin levels over 2 hours were shown as Area Under the Curve, (AUC).

  7. Change in OGTT C-peptide AUC (0-2 Hours) From Baseline to Week 12 [Baseline (Day 1) and Week 12]

    Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. C-peptide levels over 2 hours were shown as Area Under the Curve, (AUC).

  8. Average Concentration (Cavg) of C-terminal Intact BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    Cavg of C-terminal Intact BMS-986036 was reported.

  9. Maximum Observed Concentration (Cmax) of C-terminal Intact BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    Maximum observed concentration (Cmax) of C-terminal Intact BMS-986036 was reported.

  10. Area Under the Concentration-time Curve From Time Zero to 24 Hours at Steady State (AUC [0-24 Hours, ss]) of C-terminal Intact BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8]

    AUC [0-24 hours, ss] of C-terminal Intact BMS-986036 was reported.

  11. Area Under the Concentration-time Curve From Time Zero to 168 Hours at Steady State (AUC [0-168 Hours, ss]) of C-terminal Intact BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    AUC [0-168 hours, ss] of C-terminal Intact BMS-986036 was reported.

  12. Average Concentration (Cavg) of Total BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    Cavg of Total BMS-986036 was reported.

  13. Maximum Observed Concentration (Cmax) of Total BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    Maximum observed concentration (Cmax) of Total BMS-986036 was reported.

  14. Area Under the Concentration-time Curve From Time Zero to 24 Hours at Steady State (AUC [0-24 Hours, ss]) Total BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8]

    AUC [0-24 hours, ss] of Total BMS-986036 was reported.

  15. Area Under the Concentration-time Curve From Time Zero to 168 Hours at Steady State (AUC [0-168 Hours, ss]) of Total BMS-986036 [Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)]

    AUC [0-168 hours, ss] of Total BMS- 986036 was reported.

  16. Percentage of Participants With ANTI-BMS-986036 Antibody Response [Baseline and Day 126]

    Percentage of Participants with ANTI-BMS-986036 Antibody Response (ADA positive and ADA Negative) was reported. Participants were monitored for antibodies to BMS-986036 with an anti-BMS-986036 antibody assay. Titers were reported for samples testing positive in an assay.

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No

For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com

Inclusion Criteria:
  • Diagnosed with type-2 diabetes mellitus with HbA1c ≥6.5% to less than 10.0%

  • Body mass index 30.0 to 50.0

Exclusion Criteria:
  • Any significant acute or chronic medical illness

  • Inability to self-administer subcutaneous injections

  • Inability to be venipunctured

  • Evidence of organ dysfunction beyond what is consistent with the target population

  • History of allergy to PEGylated compounds or Fibroblast growth factor 21 (FGF21) related compounds

Contacts and Locations

Locations

Site City State Country Postal Code
1 Arkansas Clinical Research Little Rock Arkansas United States 72205
2 Anaheim Clinical Trials Llc Anaheim California United States 92801
3 National Research Institute Los Angeles California United States 90057
4 Encompass Clinical Research Spring Valley California United States 91978-1522
5 Encompass Clinical Research Spring Valley California United States 91978
6 All Medical Research, Llc Cooper City Florida United States 33024
7 Central Kentucky Research Associates, Inc. Lexington Kentucky United States 40509
8 Premier Research Trenton New Jersey United States 08611
9 Metrolina Internal Medicine Charlotte North Carolina United States 28204
10 Sterling Research Grp, Ltd. Cincinnati Ohio United States 45219
11 Manna Research Vancouver Vancouver British Columbia Canada V6J 1S3
12 Aggarwal And Associates Brampton Ontario Canada L6T 0G1
13 Rhodin Recherche Clinique Drummondville Quebec Canada J2B 7T1
14 Recherche Gcp Research Montreal Quebec Canada H1M 1B1
15 Medexa Recherche Victoriaville Quebec Canada G6P 6P6
16 Alpha-Recherche Clinique Quebec Canada G3K 2P8

Sponsors and Collaborators

  • Bristol-Myers Squibb

Investigators

  • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT02097277
Other Study ID Numbers:
  • MB130-002
First Posted:
Mar 27, 2014
Last Update Posted:
Jul 31, 2019
Last Verified:
Jul 1, 2019
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail 219 participants were enrolled; 138 entered the lead-in period. Reasons for not entering lead-in period included "not meeting study eligibility criteria". 120 were randomized to treatment. Reasons not randomized: 6 withdrew consent, 2 lost to follow-up, 4 no longer met study criteria, 1 due to admin.reason by Sponsor and 4 due to other reasons.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks
Period Title: Overall Study
STARTED 24 24 24 24 24
COMPLETED 22 21 22 20 23
NOT COMPLETED 2 3 2 4 1

Baseline Characteristics

Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly) Total
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks. Total of all reporting groups
Overall Participants 24 24 24 24 24 120
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
57.9
(7.58)
55.4
(9.44)
55.3
(9.92)
56.2
(8.17)
55.2
(12.62)
56.0
(9.60)
Sex: Female, Male (Count of Participants)
Female
10
41.7%
11
45.8%
11
45.8%
9
37.5%
12
50%
53
44.2%
Male
14
58.3%
13
54.2%
13
54.2%
15
62.5%
12
50%
67
55.8%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Asian
0
0%
1
4.2%
3
12.5%
2
8.3%
4
16.7%
10
8.3%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
2
8.3%
3
12.5%
3
12.5%
2
8.3%
5
20.8%
15
12.5%
White
22
91.7%
20
83.3%
18
75%
20
83.3%
15
62.5%
95
79.2%
More than one race
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%

Outcome Measures

1. Primary Outcome
Title Percent Change in Glycosylated Hemoglobin A1c (HbA1c) From Baseline to Week 12
Description HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Percent Change in Glycosylated Hemoglobin A1c (HbA1c) from Baseline to Week 12 was reported.
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all subjects who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Percent Change]
0.0005
(0.00622)
0.0029
(0.00882)
0.0007
(0.00692)
0.0004
(0.00814)
-0.0004
(0.00418)
2. Secondary Outcome
Title Change in Body Weight From Baseline to Week 12
Description Change in Body Weight from Baseline to Week 12 as a part of Physical measurement was reported.
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all subjects who received at least one dose of study medication and had PD biomarker data available, although only subjects with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Kilogram]
-0.22
(2.615)
-0.26
(1.718)
-0.10
(2.883)
-1.09
(2.583)
-0.50
(2.297)
3. Secondary Outcome
Title Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Composite Index of Insulin Sensitivity (CISI) (Matsuda Index)
Description Whole body insulin sensitivity as quantified by Matsuda Index at the end of the treatment period, calculated by the following equation: 10,000/square root of(FPG*FI)*(FPG+PG30*2+PG60*3+PG120*2)/8*(FPI+PI30*2+PI60*3+PI120*2)/8). FPG=fasting plasma glucose level; FPI=fasting plasma insulin level; PG30,60,90, and 120=plasma glucose levels sampled at 30,60, and 120 minutes after oral glucose load; PI30,60,and 120=plasma insulin levels sampled at 30,60 and 120 minutes after the oral glucose load.
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all participants who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Unit on a scale]
-0.18
(0.967)
-0.19
(1.348)
-0.18
(2.102)
0.77
(2.455)
0.54
(1.772)
4. Secondary Outcome
Title Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)
Description Homeostasis model assessment of insulin resistance (HOMA-IR) was used as a validated measure of insulin resistance. HOMA-IR is calculated using the following formula's fasting glucose(mg/dL) x fasting insulin(mU/L) / 405.
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all participants who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Unit on a Scale]
-0.19
(4.136)
0.00
(5.633)
-1.88
(8.940)
-1.73
(4.589)
-0.34
(3.707)
5. Secondary Outcome
Title Change From Baseline to Week 12 in Insulin Sensitivity Quantified by Quantitative Insulin Sensitivity Check Index (QUICKI)
Description The Quantitative Insulin Sensitivity Check Index (QUICKI) score, measures insulin sensitivity which is the inverse of insulin resistance. QUICKI is derived using the inverse of the sum of the logarithms of the fasting insulin and fasting glucose: 1 / (log(fasting insulin mU/L) + log(fasting glucose mg/dL)).
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all subjects who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Unit on a scale]
0.00
(0.011)
0.00
(0.010)
0.00
(0.015)
0.00
(0.016)
0.00
(0.011)
6. Secondary Outcome
Title Change in Oral Glucose Tolerance Test (OGTT) Area Under the Curve From 0 to 2 Hours for Postprandial Glucose From Baseline to Week 12
Description Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. Plasma Glucose levels over 2 hours were shown as Area Under the Curve, (AUC).
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all participants who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [Millimole*hour per Liter (mmol*hr/L)]
1.538
(4.2940)
2.594
(5.8193)
-0.646
(7.0591)
-0.215
(4.7397)
-2.293
(4.9322)
7. Secondary Outcome
Title Change in OGTT Insulin AUC (0-2 Hours) From Baseline to Week 12
Description Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. Insulin levels over 2 hours were shown as Area Under the Curve, (AUC).
Time Frame Bseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all participants who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [mmol*hr/L]
-64.648
(231.6043)
-72.155
(277.4819)
-83.850
(215.3974)
-58.313
(205.1879)
-150.679
(257.5965)
8. Secondary Outcome
Title Change in OGTT C-peptide AUC (0-2 Hours) From Baseline to Week 12
Description Blood samples were drawn after an overnight fast and standard OGTT from 0 to 120 minutes. C-peptide levels over 2 hours were shown as Area Under the Curve, (AUC).
Time Frame Baseline (Day 1) and Week 12

Outcome Measure Data

Analysis Population Description
The Pharmacodynamic Population included all participants who received at least one dose of study medication and had PD biomarker data available, although only participants with both baseline and post-baseline data were included in the statistical analysis. Here, 'N' signifies number of participants analyzed for this outcome measure.
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24 24
Mean (Standard Deviation) [mmol*hr/L]
-0.287
(1.2463)
0.031
(1.3926)
-0.181
(0.8927)
-0.169
(1.0176)
-0.750
(1.2224)
9. Secondary Outcome
Title Average Concentration (Cavg) of C-terminal Intact BMS-986036
Description Cavg of C-terminal Intact BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 23
Geometric Mean (Geometric Coefficient of Variation) [Microgram per Liter (ug/L)]
50.6
(60.6)
204
(50.4)
762
(49.2)
197
(60.5)
10. Secondary Outcome
Title Maximum Observed Concentration (Cmax) of C-terminal Intact BMS-986036
Description Maximum observed concentration (Cmax) of C-terminal Intact BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 23
Geometric Mean (Geometric Coefficient of Variation) [microgram/liter]
53.3
(61.2)
213
(50.4)
807
(48.8)
459
(41.4)
11. Secondary Outcome
Title Area Under the Concentration-time Curve From Time Zero to 24 Hours at Steady State (AUC [0-24 Hours, ss]) of C-terminal Intact BMS-986036
Description AUC [0-24 hours, ss] of C-terminal Intact BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 0
Geometric Mean (Geometric Coefficient of Variation) [hour*microgram/liter]
1210
(60.6)
4900
(50.4)
18300
(49.2)
12. Secondary Outcome
Title Area Under the Concentration-time Curve From Time Zero to 168 Hours at Steady State (AUC [0-168 Hours, ss]) of C-terminal Intact BMS-986036
Description AUC [0-168 hours, ss] of C-terminal Intact BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 0 0 0 23
Geometric Mean (Geometric Coefficient of Variation) [hour*microgram/liter]
31800
(57.6)
13. Secondary Outcome
Title Average Concentration (Cavg) of Total BMS-986036
Description Cavg of Total BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 23
Geometric Mean (Geometric Coefficient of Variation) [Microgram per Liter (ug/L)]
342
(42.3)
1560
(44.6)
6390
(43.2)
1130
(38.9)
14. Secondary Outcome
Title Maximum Observed Concentration (Cmax) of Total BMS-986036
Description Maximum observed concentration (Cmax) of Total BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 23
Geometric Mean (Geometric Coefficient of Variation) [microgram/liter]
344
(42.5)
1570
(44.5)
6440
(43.1)
1420
(36.1)
15. Secondary Outcome
Title Area Under the Concentration-time Curve From Time Zero to 24 Hours at Steady State (AUC [0-24 Hours, ss]) Total BMS-986036
Description AUC [0-24 hours, ss] of Total BMS-986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 21 22 20 0
Geometric Mean (Geometric Coefficient of Variation) [hour*microgram/liter]
8200
(42.3)
37400
(44.6)
153000
(43.2)
16. Secondary Outcome
Title Area Under the Concentration-time Curve From Time Zero to 168 Hours at Steady State (AUC [0-168 Hours, ss]) of Total BMS-986036
Description AUC [0-168 hours, ss] of Total BMS- 986036 was reported.
Time Frame Pre-dose, 6, 24 hours postdose on Week 8; pre-dose on Weeks 1, 2, 4, 6, 8, and 12; post treatment period on Week 13, 15 and 18 (Day 126)

Outcome Measure Data

Analysis Population Description
Serum concentration-time data will be used to develop a population PK model, and estimates of individual PK parameters will be derived from this model using a validated PK analysis program. Here, 'N' signifies number of participants evaluable for this outcome measure.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 0 0 0 23
Geometric Mean (Geometric Coefficient of Variation) [hour*microgram/liter]
172000
(39.1)
17. Secondary Outcome
Title Percentage of Participants With ANTI-BMS-986036 Antibody Response
Description Percentage of Participants with ANTI-BMS-986036 Antibody Response (ADA positive and ADA Negative) was reported. Participants were monitored for antibodies to BMS-986036 with an anti-BMS-986036 antibody assay. Titers were reported for samples testing positive in an assay.
Time Frame Baseline and Day 126

Outcome Measure Data

Analysis Population Description
It included all treated participants who were randomized to treatment and subsequently received at least one dose of study medication.
Arm/Group Title Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
Measure Participants 24 24 24 24
ADA Positive
37.5
156.3%
79.2
330%
83.3
347.1%
58.3
242.9%
ADA Negative
62.5
260.4%
16.7
69.6%
12.5
52.1%
37.5
156.3%

Adverse Events

Time Frame Approximately 2 years
Adverse Event Reporting Description
Arm/Group Title Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Arm/Group Description Placebo (Matching with BMS-986036) 0 mg subcutaneous injection once daily for 12 weeks. BMS-986036 1 mg subcutaneous injection once daily for 12 weeks. BMS-986036 5 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once daily for 12 weeks. BMS-986036 20 mg subcutaneous injection once weekly (on Day 1 of each week) for 12 weeks followed by Placebo (Matching with BMS-986036) 0 mg subcutaneous injection on Days 2-7 of each week for 12 weeks.
All Cause Mortality
Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%)
Serious Adverse Events
Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%)
Cardiac disorders
Mitral Valve Disease 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%)
Tricuspid Valve Disease 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal Cell Carcinoma 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%)
Other (Not Including Serious) Adverse Events
Treatment A: Placebo Treatment B: BMS-986036 (1 mg Daily) Treatment C: BMS-986036 (5 mg Daily) Treatment D: BMS-986036 (20 mg Daily) Treatment E: BMS-986036 (20 mg Weekly)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 9/24 (37.5%) 12/24 (50%) 7/24 (29.2%) 10/24 (41.7%) 10/24 (41.7%)
Gastrointestinal disorders
Diarrhea 1/24 (4.2%) 3/24 (12.5%) 2/24 (8.3%) 4/24 (16.7%) 5/24 (20.8%)
Nausea 0/24 (0%) 2/24 (8.3%) 0/24 (0%) 1/24 (4.2%) 3/24 (12.5%)
Dyspepsia 0/24 (0%) 3/24 (12.5%) 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%)
Vomiting 0/24 (0%) 2/24 (8.3%) 0/24 (0%) 0/24 (0%) 0/24 (0%)
General disorders
Injection Site Bruising 5/24 (20.8%) 6/24 (25%) 4/24 (16.7%) 1/24 (4.2%) 3/24 (12.5%)
Injection Site Erythema 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 2/24 (8.3%) 1/24 (4.2%)
Fatigue 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 2/24 (8.3%)
Hunger 0/24 (0%) 0/24 (0%) 2/24 (8.3%) 2/24 (8.3%) 0/24 (0%)
Infections and infestations
Nasopharyngitis 1/24 (4.2%) 3/24 (12.5%) 1/24 (4.2%) 1/24 (4.2%) 2/24 (8.3%)
Upper Respiratory Tract Infection 0/24 (0%) 0/24 (0%) 2/24 (8.3%) 0/24 (0%) 1/24 (4.2%)
Investigations
Blood Creatine Phosphokinase Increased 0/24 (0%) 2/24 (8.3%) 0/24 (0%) 0/24 (0%) 0/24 (0%)
Metabolism and nutrition disorders
Increased Appetite 2/24 (8.3%) 1/24 (4.2%) 3/24 (12.5%) 1/24 (4.2%) 1/24 (4.2%)
Nervous system disorders
Headache 2/24 (8.3%) 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%)
Respiratory, thoracic and mediastinal disorders
Cough 2/24 (8.3%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.

Results Point of Contact

Name/Title Study Director
Organization Bristol-Myers Squibb
Phone
Email clinical.trials@bms.com
Responsible Party:
Bristol-Myers Squibb
ClinicalTrials.gov Identifier:
NCT02097277
Other Study ID Numbers:
  • MB130-002
First Posted:
Mar 27, 2014
Last Update Posted:
Jul 31, 2019
Last Verified:
Jul 1, 2019