A Phase 2a Study To Evaluate The Pharmacokinetics, Safety, Efficacy, Tolerability, And Pharmacodynamics of Sotatercept (ACE-011) for the Correction of Anemia in Subjects With End-stage Renal Disease on Hemodialysis.
CompletedPhase 2Results postedLast updated 1 March 2024
What this trial tests
Phase 2 trial testing Sotatercept in Anemia in 50 participants. Completed in 7 March 2016.
18 and older, any sex, with Anemia. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Observed Maximum Concentration (Cmax)Primary· From first dose up to Day 28
Cmax is a pharmacokinetic parameter defined as the observed maximum concentration of the study drug in the serum and/or blood. Cmax will be estimated from the sotatercept concentration versus time data using noncompartmental method.
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
1.022
± 0.576
Part 2-0.3 mg/kg
2.40
± 0.96
Part 2-0.5 mg/kg
3.66
± 0.67
Part 2-0.7 mg/kg
3.97
± 1.64
Part 2-0.7/0.4 mg/kg
7.71
± 1.97
Time to Maximum Concentration (Tmax)Primary· From first dose up to Day 28
Time to observed maximum concentration (Tmax) is defined as the amount of time in days for a drug to reach the maximum concentration after administration.
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
6
3 – 14
Part 2-0.3 mg/kg
7
3 – 14
Part 2-0.5 mg/kg
8
4 – 12
Part 2-0.7 mg/kg
7
4 – 10
Part 2-0.7/0.4 mg/kg
5
3 – 13
Area Under Curve (AUC)-28 DaysPrimary· From first dose up to Day 28
AUC-28 days is defined as area under the concentration-time curve over the first 28-day dosing interval
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
20.6
± 11.4
Part 2-0.3 mg/kg
50.64
± 17.67
Part 2-0.5 mg/kg
78.03
± 13.34
Part 2-0.7 mg/kg
87.51
± 36.68
Part 2-0.7/0.4 mg/kg
126.96
± 20.75
AUCinf: Area Under the Concentration-time Curve From Time Zero Extrapolated to InfinityPrimary· From first dose up to Day 28
Area under the concentration-time curve from time zero extrapolated to infinity. Only Part 1 pharmacokinetic evaluable participants were pre-specified to be evaluated in this endpoint.
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
35.8
± 17.4
Apparent Total Clearance (CL/F)Primary· From first dose up to Day 28
Apparent Total Clearance (CL/F) is defined as the volume of plasma from which the study drug is completely removed per unit of time. It is equal to the drug dose divided by the area-under-the-curve.
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
3.22
± 1.20
Part 2-0.3 mg/kg
0.255
± 0.068
Part 2-0.5 mg/kg
0.261
± 0.075
Part 2-0.7 mg/kg
0.532
± 0.654
Part 2-0.7/0.4 mg/kg
0.298
± 0.112
Apparent Volume of Distribution Based on Terminal Phase (Vz/F)Primary· From first dose up to Day 28
Apparent volume of distribution based on terminal phase (Vz/F) is defined as the apparent volume in which the current amount of drug in the body must be dispersed in order to give the current plasma concentration. Apparent volume of distribution is important for determining the dose required to produce a desired plasma concentration of the drug.
Terminal plasma half-life (t1/2,z) is the time taken for concentration of the study drug to decrease from its maximum concentration (Cmax) to half of Cmax in the blood plasma.
Group
Value
95% CI
Part 1-ACE-011 0.1 mg/kg
21.1
± 3.9
Part 2-0.3 mg/kg
24.3
± 3.28
Part 2-0.5 mg/kg
32.1
± 19.9
Part 2-0.7 mg/kg
22.2
± 7.00
Part 2-0.7/0.4 mg/kg
19.6
± 2.91
The Number of Participants Experiencing Treatment Emergent Adverse Events (TEAEs)Secondary· From first dose up to 115 days post last dose
An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment.
Group
Value
95% CI
Part 1-Placebo
1
Part 1-ACE-011 0.1 mg/kg
6
Part 2- Placebo
7
Part 2-0.3 mg/kg
8
Part 2-0.5 mg/kg
6
Part 2-0.7 mg/kg
8
Part 2-0.7/0.4 mg/kg
4
Number of Participants With Hemoglobin > 12g/dLSecondary· Pre-dose; Dose 1-Days 1, 8, 15, 22, 29; Doses 2, 3, 4, 5, 6, 7-Days 1, 15, 29; Follow-up Phase Days 225, 253, 281, and 309
Number of participants with hemoglobin \> 12g/dL including Hb values obtained after first study drug dose and before any rescue.
Group
Value
95% CI
Part 1-Placebo
0
Part 1-ACE-011 0.1 mg/kg
0
Part 2- Placebo
0
Part 2-0.3 mg/kg
0
Part 2-0.5 mg/kg
0
Part 2-0.7 mg/kg
1
Part 2-0.7/0.4 mg/kg
0
Proportion of Participants With Rise in Hemoglobin > 2 g/dL During 4 Week PeriodSecondary· Pre-dose; Dose 1-Days 1, 8, 15, 22, 29; Doses 2, 3, 4, 5, 6, 7-Days 1, 15, 29; Follow-up Phase Days 225, 253, 281, and 309
Proportion of participants with rise in hemoglobin (Hb) \> 2 g/dL during a 4-week period including Hb values obtained after first study drug dose and before any rescue.
Group
Value
95% CI
Part 1-Placebo
0
Part 1-ACE-011 0.1 mg/kg
0
Part 2- Placebo
0
Part 2-0.3 mg/kg
0
Part 2-0.5 mg/kg
1
Part 2-0.7 mg/kg
0
Part 2-0.7/0.4 mg/kg
0
Blood Pressure Changes From BaselineSecondary· From pre-dose up to the final visit 112 days after last dose (up to 225 days)
Blood pressure was generally recorded on the day of dialysis and represent pre-dialysis values. Baseline is defined as blood pressure measurements recorded on Day 1 of the first dose administered.
Systolic Blood Pressure Baseline Day 1
Group
Value
95% CI
Part 1-Placebo
151.0
± NA
Part 1-ACE-011 0.1 mg/kg
142.8
± 13.11
Part 2- Placebo
129.4
± 27.99
Part 2-0.3 mg/kg
145.9
± 9.75
Part 2-0.5 mg/kg
141.4
± 18.72
Part 2-0.7 mg/kg
139.9
± 29.25
Part 2-0.7/0.4 mg/kg
135.0
± 25.09
Systolic Blood Pressure Final Visit
Group
Value
95% CI
Part 1-Placebo
163.0
± NA
Part 1-ACE-011 0.1 mg/kg
134.6
± 6.95
Part 2- Placebo
145.0
± 26.91
Part 2-0.3 mg/kg
167.0
± 12.81
Part 2-0.5 mg/kg
154.0
± 34.47
Part 2-0.7 mg/kg
154.3
± 22.93
Part 2-0.7/0.4 mg/kg
131.8
± 12.79
Diastolic Blood Pressure Baseline Day 1
Group
Value
95% CI
Part 1-Placebo
75.0
± NA
Part 1-ACE-011 0.1 mg/kg
81.5
± 7.56
Part 2- Placebo
71.6
± 13.42
Part 2-0.3 mg/kg
78.2
± 12.45
Part 2-0.5 mg/kg
74.3
± 8.41
Part 2-0.7 mg/kg
64.6
± 13.33
Part 2-0.7/0.4 mg/kg
72.0
± 16.10
Diastolic Blood Pressure Final Visit
Group
Value
95% CI
Part 1-Placebo
83.0
± NA
Part 1-ACE-011 0.1 mg/kg
86.2
± 15.93
Part 2- Placebo
79.7
± 15.53
Part 2-0.3 mg/kg
85.2
± 9.83
Part 2-0.5 mg/kg
83.6
± 18.98
Part 2-0.7 mg/kg
75.3
± 9.19
Part 2-0.7/0.4 mg/kg
71.6
± 10.01
Changes in Follicle Stimulating Hormone (FSH)Secondary· Day 1 (baseline), Day 15, Day 29, and Day 113
The change in follicle stimulating measured at pre-specified timepoints throughout the treatment period.
Day 1 (baseline)
Group
Value
95% CI
Part 1-Placebo
23.5
± NA
Part 1-ACE-011 0.1 mg/kg
36.9
± 67.65
Day 15
Group
Value
95% CI
Part 1-Placebo
17.1
± NA
Part 1-ACE-011 0.1 mg/kg
51.8
± 80.76
Day 29
Group
Value
95% CI
Part 1-Placebo
17.5
± NA
Part 1-ACE-011 0.1 mg/kg
37.4
± 67.69
Day 113
Group
Value
95% CI
Part 1-Placebo
11.8
± NA
Part 1-ACE-011 0.1 mg/kg
48.2
± 78.81
Adverse events — posted to ClinicalTrials.gov
Time frame: Participants were assessed for all-cause mortality from their randomization to study completion, (up to approximately 66 months). SAEs and Other AEs were assessed from first dose up to 115 days post last dose (up to 340 days)..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Part 1 - Placebo
Serious: 0/1 (0%)
Deaths: 0/1
Part 1 - ACE-011 0.1 mg/kg
Serious: 2/6 (33%)
Deaths: 1/6
Part 2 - Placebo
Serious: 3/11 (27%)
Deaths: 2/11
Part 2 - 0.3 mg/kg
Serious: 4/9 (44%)
Deaths: 0/9
Part 2 - 0.5 mg/kg
Serious: 0/8 (0%)
Deaths: 0/8
Part 2 - 0.7 mg/kg
Serious: 5/9 (56%)
Deaths: 0/9
Part 2 - 0.7/0.4 mg/kg
Serious: 1/6 (17%)
Deaths: 0/6
Serious adverse events (34 terms)
Reaction
System
Part 1 - Placebo
Part 1 - ACE-011 0.1 mg/kg
Part 2 - Placebo
Part 2 - 0.3 mg/kg
Part 2 - 0.5 mg/kg
Part 2 - 0.7 mg/kg
Part 2 - 0.7/0.4 mg/kg
ANGINA PECTORIS
Cardiac disorders
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ANAEMIA
Blood and lymphatic system disorders
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ACUTE MYOCARDIAL INFARCTION
Cardiac disorders
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ANGINA UNSTABLE
Cardiac disorders
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ARTERIOSCLEROSIS CORONARY ARTERY
Cardiac disorders
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ATRIAL FIBRILLATION
Cardiac disorders
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CARDIOMYOPATHY
Cardiac disorders
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GASTROINTESTINAL HAEMORRHAGE
Gastrointestinal disorders
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ILEUS
Gastrointestinal disorders
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NAUSEA
Gastrointestinal disorders
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VOMITING
Gastrointestinal disorders
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GAIT DISTURBANCE
General disorders
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NON-CARDIAC CHEST PAIN
General disorders
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OEDEMA PERIPHERAL
General disorders
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GASTROENTERITIS
Infections and infestations
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OESOPHAGEAL CANDIDIASIS
Infections and infestations
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PNEUMONIA
Infections and infestations
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PNEUMONIA BACTERIAL
Infections and infestations
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TRACHEOBRONCHITIS
Infections and infestations
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ARTERIOVENOUS FISTULA SITE HAEMORRHAGE
Injury, poisoning and procedural complications
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FALL
Injury, poisoning and procedural complications
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HEART RATE IRREGULAR
Investigations
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TYPE 2 DIABETES MELLITUS
Metabolism and nutrition disorders
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BLADDER CANCER
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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TUMOUR THROMBOSIS
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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Other adverse events (105 terms — click to expand)
This is the first study in hemodialysis subjects with anemia to evaluate the pharmacokinetics, safety, efficacy, tolerability, and pharmacodynamics of sotatercept (ACE-011)
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
NCT07498803 — Sota-ES - Sotatercept in Patients With Congenital Heart Disease and Eisenmenger´s Syndrome
· Phase 2
· not yet recruiting
NCT07356778 — A Study of Sotatercept for Patients With Eisenmenger Syndrome or Unrepaired Shunt-Associated Pulmonary Arterial Hyperten
· Phase 4
· recruiting
NCT06930664 — A Study of Sotatercept (MK-7962) in Healthy Females Administered as a Liquid Formulation in an Autoinjector Versus the L
· Phase 1
· completed
NCT06658522 — Right Ventricular Compensation With Sotatercept: A Prospective Single Arm Open Label Phase 4 Study to Evaluate the Effec
· Phase 4
· recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Celgene
Last refreshed: 1 March 2024
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