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Cerebrovascular StrokePhase 1NCT04103034

A SAD/MAD Study of Safety, Tolerability and Pharmacologic Activity of BT200 in Normal Volunteers

A Phase 1 study testing BT200 and Desmopressin in people with Cerebrovascular Stroke and Large-Artery Atherosclerosis (Embolus/Thrombosis), run by Band Therapeutics at 1 site in Austria.

Completed

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

Official record
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Trial summary

Study BT200-01 is a first in human (FIH) study in male and female normal human volunteers (NHVs) that uses an Integrated Protocol Design. This Phase 1 study will comprise 4 sub-parts: Part A, a single ascending dose (SAD) study; Part B, a multiple ascending dose (MAD) study; Part C, a desmopressin challenge study to… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
BT200 and Desmopressin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
112 participants
Where
1 siteAustria
Study dates
7 Oct 2019to 14 Sep 2020
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

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

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy male or female volunteers, age ≥ 18 years old at screening
  • If female, must be post-menopausal or status post hysterectomy
  • Able to comprehend and to give informed consent
  • Able to cooperate with the Investigator, to comply with the requirements of the study, and to complete the full sequence of protocol-related procedures

Who cannot join

  • Clinically significant medical history (including von Willebrand Disease, thrombocytopathy, or any type of bleeding diathesis) or ongoing chronic illness that would jeopardize the safety of the subject or compromise the quality of the data derived from his/her participation in this study
  • Clinically relevant abnormal findings on physical examination or clinically relevant laboratory abnormalities
  • History of infusion hypersensitivity reactions, significant drug allergy, or anaphylactic reactions
  • Substance abuse, mental illness, or any reason that makes it unlikely in the judgment of the Investigator for the subject to be able to comply fully with study procedures
  • Use of medication during 2 weeks before the start of the study, which in the judgment of the Investigator may adversely affect the subject's welfare or the integrity of the study's results
  • Concurrent treatment with other experimental drugs or participation in another clinical trial with any investigational drug within 30 days or 5 elimination half-lives (whichever is longer) prior to treatment start

Trial locations and contacts

1 site in 1 country.

Austria1 site
  • Medical University of Vienna

    Vienna, 1090

Other trials in Austria

About this study

Official title: A Single/Multiple Ascending Dose Phase 1 Study of the Safety, Tolerability and Pharmacologic Activity of BT200 in Normal Human Volunteers

Study BT200-01 is a first in human (FIH) study in male and female normal human volunteers (NHVs) that uses an Integrated Protocol Design. This Phase 1 study will comprise 4 sub-parts: Part A, a single ascending dose (SAD) study; Part B, a multiple ascending dose (MAD) study; Part C, a desmopressin challenge study to explore (i) whether desmopressin could be used as an antidote, and/or (ii) whether desmopressin stimulated vonWillebrand Factor (VWF) release is overcome with increasing BT200 doses; and Part D, a relative bioavailability (BA) study.

The primary objective of this study is to assess the safety and tolerability profile of BT200 in NHVs.

Being tested
BT200, Desmopressin, Placebo
Keywords
Secondary Stroke Prevention
Medical subject headings
Stroke, Embolism, Thrombosis, Intracranial Arteriosclerosis

What participants receive

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

  • BT200Drug

    BT200 is a PEGylated synthetic RNA oligonucleotide

  • DesmopressinDrug

    Also called MINIRIN® Injection

    Sterile solution for injection

  • PlaceboDrug

    Sterile saline for injection

Study groups in NCT04103034
Study groupRoleWhat they receive
BT200 0.18mgExperimentalSubjects will receive a single subcutaneous dose of BT200 0.18mg
Receives: Drug: BT200
BT200 0.6mgExperimentalSubjects will receive a single subcutaneous dose of BT200 0.6mg
Receives: Drug: BT200
BT200 1.8mgExperimentalSubjects will receive a single subcutaneous dose of BT200 1.8mg
Receives: Drug: BT200
BT200 6.0mgExperimentalSubjects will receive a single subcutaneous dose of BT200 6.0mg
Receives: Drug: BT200
BT200 12.0mgExperimentalSubjects will receive a single subcutaneous dose of BT200 12.0mg
Receives: Drug: BT200
BT200 24.0mgExperimentalSubjects will receive a single subcutaneous dose of BT200 24.0mg
Receives: Drug: BT200
BT200 24.0mg repExperimentalSubjects will receive a single subcutaneous (SC) dose of BT200 24.0mg by gradual SC infusion
Receives: Drug: BT200
Placebo SADPlacebo comparatorSubjects will receive a single subcutaneous dose of placebo
Receives: Drug: Placebo
BT200 loading dose 12.0mg, maintenance doses of 12.0 mgExperimentalSubjects will receive an initial subcutaneous loading doses of BT200 12.0mg followed by 4 weekly (every 7 days) maintenance doses of BT200 12.0mg
Receives: Drug: BT200
BT200 loading doses 24.0mg, maintenance doses of 24.0 mgExperimentalSubjects will receive an initial subcutaneous loading dose of BT200 24mg followed by 4 weekly (every 7 days) maintenance doses of BT200 24mg
Receives: Drug: BT200
Placebo MADPlacebo comparatorSubjects will receive an initial subcutaneous loading dose of Placebo followed by 4 weekly (every 7 days) maintenance doses of placebo
Receives: Drug: Placebo
BT200 48.0mg + desmopressin challengeExperimentalSubjects will receive a single subcutaneous dose of BT200 48.0mg followed by IV infusion (over 30 min) of 0.3µg/kg desmopressin administered 24 hours after single dose of BT200
Receives: Drug: BT200; Drug: Desmopressin
Placebo + desmopressin challenge dosePlacebo comparatorSubjects will receive a single subcutaneous dose of placebo followed by IV infusion (over 30 min of 0.3µg/kg desmopressin administered 24 hours after single dose of placebo
Receives: Drug: BT200; Drug: Desmopressin
Placebo infusionPlacebo comparatorSubjects will receive a single IV dose of placebo administered over 24 hours
Receives: Drug: Placebo
BT200 36.0mgExperimentalSubjects will receive a single subcutaneous (SC) dose of BT200 36.0mg by gradual SC infusion
Receives: Drug: BT200
BT200 48.0 mgExperimentalSubjects will receive a single subcutaneous dose (SC) of BT200 48.0mg by gradual SC infusion
Receives: Drug: BT200
BT200 18.0 mgExperimentalSubjects will receive a single subcutaneous (SC) dose of BT200 18.0mg by gradual SC infusion
Receives: Drug: BT200
BT200 24mg IV infusionExperimentalSubjects will receive a single IV dose of BT200 24mg administered over 24 hours
Receives: Drug: BT200

What is being measured

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

  1. Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0

    Any AE or bleeding event related to study treatment

    Measured: Baseline through 8 weeks after dosing up to 56 days

Secondary outcomes (3)
  1. Measured Area Under the Curve (AUC)

    Measured Area Under the Curve at timepoints pre-dose, 0.5h, 1h, 4h, 8h,14h, 24h, 48h, 72h, 96h, 168h, 14d, 21d, 28d, 42d, 56d post dose

    Measured: Baseline through 8 weeks after dosing up to 56 days

  2. Maximum Plasma Concentration (Cmax)

    Maximum plasma Concentration measured at pre-dose, 0.5h, 1h, 4h, 8h,14h, 24h, 48h, 72h, 96h, 168h, 14d, 21d, 28d, 42d, 56d

    Measured: Baseline through 8 weeks after dosing up to 56 days

  3. Time to Maximum Plasma Concentration (Tmax)

    Time to maximum plasma concentration measured at pre-dose, 0.5h, 1h, 4h, 8h,14h, 24h, 48h, 72h, 96h, 168h, 14d, 21d, 28d, 42d, 56d

    Measured: Baseline through 8 weeks after dosing up to 56 days

Timeline

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

  1. First posted25 Sep 2019
  2. Study start7 Oct 2019
  3. Primary completion14 Sep 2020
  4. Study completion14 Sep 2020

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
112 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04103034
Sponsor's protocol ID
BT200-01
Status last verified
Sep 2023
First submitted
19 Sep 2019
Last updated
18 Mar 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Buchtele N, Schwameis M, Gilbert JC, Schorgenhofer C, Jilma B. Targeting von Willebrand Factor in Ischaemic Stroke: Focus on Clinical Evidence. Thromb Haemost. 2018 Jun;118(6):959-978. doi: 10.1055/s-0038-1648251. Epub 2018 May 30.

    PubMed 29847840
  • Kovacevic KD, Grafeneder J, Schorgenhofer C, Gelbenegger G, Gager G, Firbas C, Quehenberger P, Jilma-Stohlawetz P, Bileck A, Zhu S, Gilbert JC, Beliveau M, Jilma B, Derhaschnig U. The von Willebrand factor A-1 domain binding aptamer BT200 elevates plasma levels of von Willebrand factor and factor VIII: a first-in-human trial. Haematologica. 2022 Sep 1;107(9):2121-2132. doi: 10.3324/haematol.2021.279948.

    PubMed 34818873
  • Denis CV, Lenting PJ. How to keep the factor VIII/von Willebrand factor complex in the circulation. Haematologica. 2022 Sep 1;107(9):2011-2013. doi: 10.3324/haematol.2021.280222. No abstract available.

    PubMed 34818875

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BT200 and Desmopressin in people with Cerebrovascular Stroke and Large-Artery Atherosclerosis (Embolus/Thrombosis), run by Band Therapeutics at 1 site in Austria.

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 4 inclusion and 6 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 Mar 2024. 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 Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 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?

Yes. Results are posted in the registry (first posted 18 Mar 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

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

What does the primary outcome measure?

Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v4.0 (time frame: Baseline through 8 weeks after dosing up to 56 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04103034, which also lists 3 linked publications.

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 Mar 2024.

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