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.
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
- Conditions the study is for
- Cerebrovascular Stroke, Large-Artery Atherosclerosis (Embolus/Thrombosis), Intracranial Arteriosclerosis
- 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.
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.
- Conditions
- Cerebrovascular Stroke, Large-Artery Atherosclerosis (Embolus/Thrombosis), Intracranial Arteriosclerosis
- 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 group | Role | What they receive |
|---|---|---|
| BT200 0.18mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 0.18mg Receives: Drug: BT200 |
| BT200 0.6mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 0.6mg Receives: Drug: BT200 |
| BT200 1.8mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 1.8mg Receives: Drug: BT200 |
| BT200 6.0mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 6.0mg Receives: Drug: BT200 |
| BT200 12.0mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 12.0mg Receives: Drug: BT200 |
| BT200 24.0mg | Experimental | Subjects will receive a single subcutaneous dose of BT200 24.0mg Receives: Drug: BT200 |
| BT200 24.0mg rep | Experimental | Subjects will receive a single subcutaneous (SC) dose of BT200 24.0mg by gradual SC infusion Receives: Drug: BT200 |
| Placebo SAD | Placebo comparator | Subjects will receive a single subcutaneous dose of placebo Receives: Drug: Placebo |
| BT200 loading dose 12.0mg, maintenance doses of 12.0 mg | Experimental | Subjects 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 mg | Experimental | Subjects 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 MAD | Placebo comparator | Subjects 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 challenge | Experimental | Subjects 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 dose | Placebo comparator | Subjects 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 infusion | Placebo comparator | Subjects will receive a single IV dose of placebo administered over 24 hours Receives: Drug: Placebo |
| BT200 36.0mg | Experimental | Subjects will receive a single subcutaneous (SC) dose of BT200 36.0mg by gradual SC infusion Receives: Drug: BT200 |
| BT200 48.0 mg | Experimental | Subjects will receive a single subcutaneous dose (SC) of BT200 48.0mg by gradual SC infusion Receives: Drug: BT200 |
| BT200 18.0 mg | Experimental | Subjects will receive a single subcutaneous (SC) dose of BT200 18.0mg by gradual SC infusion Receives: Drug: BT200 |
| BT200 24mg IV infusion | Experimental | Subjects 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.
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)
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
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
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.
- First posted25 Sep 2019
- Study start7 Oct 2019
- Primary completion14 Sep 2020
- Study completion14 Sep 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Cerebrovascular StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 112 participants (actual)
Sponsor and investigators
- Lead sponsor
- Band Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- James C Gilbert, MD, Study director, Band TherapeuticsUlla Derhaschnig, MD, Principal investigator, Medical University of Vienna
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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 29847840Kovacevic 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 34818873Denis 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
Study at a glance
From the registry record, last updated by the sponsor on 18 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single/Multiple Ascending Dose Phase 1 Study of the Safety, Tolerability and Pharmacologic Activity of BT200 in Normal Human Volunteers
- ClinicalTrials.gov ID
- NCT04103034
- Acronym / sponsor ID
- BT200-01
- Conditions
- Cerebrovascular Stroke, Large-Artery Atherosclerosis (Embolus/Thrombosis), Intracranial Arteriosclerosis
- Keywords
- Secondary Stroke Prevention
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 112 participants (actual)
- Lead sponsor
- Band TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 7 Oct 2019 (actual)
- Primary completion
- 14 Sep 2020 (actual)
- Study completion
- 14 Sep 2020 (actual)
- First posted
- 25 Sep 2019 (actual)
- Results
- Posted 18 Mar 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 18
| Arm | Type | Receives |
|---|---|---|
| BT200 0.18mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 0.18mg |
| BT200 0.6mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 0.6mg |
| BT200 1.8mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 1.8mg |
| BT200 6.0mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 6.0mg |
| BT200 12.0mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 12.0mg |
| BT200 24.0mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose of BT200 24.0mg |
| BT200 24.0mg rep | Experimental | Drug: BT200Subjects will receive a single subcutaneous (SC) dose of BT200 24.0mg by gradual SC infusion |
| Placebo SAD | Placebo comparator | Drug: PlaceboSubjects will receive a single subcutaneous dose of placebo |
| BT200 loading dose 12.0mg, maintenance doses of 12.0 mg | Experimental | Drug: BT200Subjects will receive an initial subcutaneous loading doses of BT200 12.0mg followed by 4 weekly (every 7 days) maintenance doses of BT200 12.0mg |
| BT200 loading doses 24.0mg, maintenance doses of 24.0 mg | Experimental | Drug: BT200Subjects will receive an initial subcutaneous loading dose of BT200 24mg followed by 4 weekly (every 7 days) maintenance doses of BT200 24mg |
| Placebo MAD | Placebo comparator | Drug: PlaceboSubjects will receive an initial subcutaneous loading dose of Placebo followed by 4 weekly (every 7 days) maintenance doses of placebo |
| BT200 48.0mg + desmopressin challenge | Experimental | Drug: BT200, Drug: DesmopressinSubjects 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 |
| Placebo + desmopressin challenge dose | Placebo comparator | Drug: BT200, Drug: DesmopressinSubjects 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 |
| Placebo infusion | Placebo comparator | Drug: PlaceboSubjects will receive a single IV dose of placebo administered over 24 hours |
| BT200 36.0mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous (SC) dose of BT200 36.0mg by gradual SC infusion |
| BT200 48.0 mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous dose (SC) of BT200 48.0mg by gradual SC infusion |
| BT200 18.0 mg | Experimental | Drug: BT200Subjects will receive a single subcutaneous (SC) dose of BT200 18.0mg by gradual SC infusion |
| BT200 24mg IV infusion | Experimental | Drug: BT200Subjects will receive a single IV dose of BT200 24mg administered over 24 hours |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (6 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BT200BT200 is a PEGylated synthetic RNA oligonucleotide | Drug | BT200 0.18mg, BT200 0.6mg, BT200 1.8mg, BT200 12.0mg, BT200 18.0 mg, BT200 24.0mg, BT200 24.0mg rep, BT200 24mg IV infusion, BT200 36.0mg, BT200 48.0 mg, BT200 48.0mg + desmopressin challenge, BT200 6.0mg, BT200 loading dose 12.0mg, maintenance doses of 12.0 mg, BT200 loading doses 24.0mg, maintenance doses of 24.0 mg, Placebo + desmopressin challenge dose |
| DesmopressinAlso: MINIRIN® InjectionSterile solution for injection | Drug | BT200 48.0mg + desmopressin challenge, Placebo + desmopressin challenge dose |
| PlaceboSterile saline for injection | Drug | Placebo MAD, Placebo SAD, Placebo infusion |
Primary outcome
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
Any AE or bleeding event related to study treatment
3 secondary outcomes
Measured Area Under the Curve (AUC)
Time frame: Baseline through 8 weeks after dosing up to 56 days
Maximum Plasma Concentration (Cmax)
Time frame: Baseline through 8 weeks after dosing up to 56 days
Time to Maximum Plasma Concentration (Tmax)
Time frame: Baseline through 8 weeks after dosing up to 56 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 29847840Buchtele 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.
- Results publication: PubMed 34818873Kovacevic 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.
- Results publication: PubMed 34818875Denis 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
James C Gilbert, MD study director
Band Therapeutics
Ulla Derhaschnig, MD principal investigator
Medical University of Vienna
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 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.