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NCT01146574

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.

Completed Phase 2 Results posted Last updated 1 March 2024
What this trial tests

Phase 2 trial testing Sotatercept in Anemia in 50 participants. Completed in 7 March 2016.

Timeline
30 June 2010
Primary endpoint
7 March 2016
7 March 2016

Quick facts

Lead sponsorCelgene
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsingle group
Maskingsingle
Primary purposetreatment
Enrollment50
Start date30 June 2010
Primary completion7 March 2016
Estimated completion7 March 2016
Sites24 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg1.022± 0.576
Part 2-0.3 mg/kg2.40± 0.96
Part 2-0.5 mg/kg3.66± 0.67
Part 2-0.7 mg/kg3.97± 1.64
Part 2-0.7/0.4 mg/kg7.71± 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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg63 – 14
Part 2-0.3 mg/kg73 – 14
Part 2-0.5 mg/kg84 – 12
Part 2-0.7 mg/kg74 – 10
Part 2-0.7/0.4 mg/kg53 – 13
Area Under Curve (AUC)-28 Days Primary · 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

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg20.6± 11.4
Part 2-0.3 mg/kg50.64± 17.67
Part 2-0.5 mg/kg78.03± 13.34
Part 2-0.7 mg/kg87.51± 36.68
Part 2-0.7/0.4 mg/kg126.96± 20.75
AUCinf: Area Under the Concentration-time Curve From Time Zero Extrapolated to Infinity Primary · 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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg35.8± 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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg3.22± 1.20
Part 2-0.3 mg/kg0.255± 0.068
Part 2-0.5 mg/kg0.261± 0.075
Part 2-0.7 mg/kg0.532± 0.654
Part 2-0.7/0.4 mg/kg0.298± 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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg98± 38
Terminal Half-Life (t1/2,z) Primary · Days 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 15, 22, 29, 43, 57, 85 and 113

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.

GroupValue95% CI
Part 1-ACE-011 0.1 mg/kg21.1± 3.9
Part 2-0.3 mg/kg24.3± 3.28
Part 2-0.5 mg/kg32.1± 19.9
Part 2-0.7 mg/kg22.2± 7.00
Part 2-0.7/0.4 mg/kg19.6± 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.

GroupValue95% CI
Part 1-Placebo1
Part 1-ACE-011 0.1 mg/kg6
Part 2- Placebo7
Part 2-0.3 mg/kg8
Part 2-0.5 mg/kg6
Part 2-0.7 mg/kg8
Part 2-0.7/0.4 mg/kg4
Number of Participants With Hemoglobin > 12g/dL Secondary · 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.

GroupValue95% CI
Part 1-Placebo0
Part 1-ACE-011 0.1 mg/kg0
Part 2- Placebo0
Part 2-0.3 mg/kg0
Part 2-0.5 mg/kg0
Part 2-0.7 mg/kg1
Part 2-0.7/0.4 mg/kg0
Proportion of Participants With Rise in Hemoglobin > 2 g/dL During 4 Week Period Secondary · 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.

GroupValue95% CI
Part 1-Placebo0
Part 1-ACE-011 0.1 mg/kg0
Part 2- Placebo0
Part 2-0.3 mg/kg0
Part 2-0.5 mg/kg1
Part 2-0.7 mg/kg0
Part 2-0.7/0.4 mg/kg0
Blood Pressure Changes From Baseline Secondary · 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
GroupValue95% CI
Part 1-Placebo151.0± NA
Part 1-ACE-011 0.1 mg/kg142.8± 13.11
Part 2- Placebo129.4± 27.99
Part 2-0.3 mg/kg145.9± 9.75
Part 2-0.5 mg/kg141.4± 18.72
Part 2-0.7 mg/kg139.9± 29.25
Part 2-0.7/0.4 mg/kg135.0± 25.09
Systolic Blood Pressure Final Visit
GroupValue95% CI
Part 1-Placebo163.0± NA
Part 1-ACE-011 0.1 mg/kg134.6± 6.95
Part 2- Placebo145.0± 26.91
Part 2-0.3 mg/kg167.0± 12.81
Part 2-0.5 mg/kg154.0± 34.47
Part 2-0.7 mg/kg154.3± 22.93
Part 2-0.7/0.4 mg/kg131.8± 12.79
Diastolic Blood Pressure Baseline Day 1
GroupValue95% CI
Part 1-Placebo75.0± NA
Part 1-ACE-011 0.1 mg/kg81.5± 7.56
Part 2- Placebo71.6± 13.42
Part 2-0.3 mg/kg78.2± 12.45
Part 2-0.5 mg/kg74.3± 8.41
Part 2-0.7 mg/kg64.6± 13.33
Part 2-0.7/0.4 mg/kg72.0± 16.10
Diastolic Blood Pressure Final Visit
GroupValue95% CI
Part 1-Placebo83.0± NA
Part 1-ACE-011 0.1 mg/kg86.2± 15.93
Part 2- Placebo79.7± 15.53
Part 2-0.3 mg/kg85.2± 9.83
Part 2-0.5 mg/kg83.6± 18.98
Part 2-0.7 mg/kg75.3± 9.19
Part 2-0.7/0.4 mg/kg71.6± 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)
GroupValue95% CI
Part 1-Placebo23.5± NA
Part 1-ACE-011 0.1 mg/kg36.9± 67.65
Day 15
GroupValue95% CI
Part 1-Placebo17.1± NA
Part 1-ACE-011 0.1 mg/kg51.8± 80.76
Day 29
GroupValue95% CI
Part 1-Placebo17.5± NA
Part 1-ACE-011 0.1 mg/kg37.4± 67.69
Day 113
GroupValue95% CI
Part 1-Placebo11.8± NA
Part 1-ACE-011 0.1 mg/kg48.2± 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)

ReactionSystemPart 1 - PlaceboPart 1 - ACE-011 0.1 mg/kgPart 2 - PlaceboPart 2 - 0.3 mg/kgPart 2 - 0.5 mg/kgPart 2 - 0.7 mg/kgPart 2 - 0.7/0.4 mg/kg
ANGINA PECTORISCardiac disorders
ANAEMIABlood and lymphatic system disorders
ACUTE MYOCARDIAL INFARCTIONCardiac disorders
ANGINA UNSTABLECardiac disorders
ARTERIOSCLEROSIS CORONARY ARTERYCardiac disorders
ATRIAL FIBRILLATIONCardiac disorders
CARDIOMYOPATHYCardiac disorders
GASTROINTESTINAL HAEMORRHAGEGastrointestinal disorders
ILEUSGastrointestinal disorders
NAUSEAGastrointestinal disorders
VOMITINGGastrointestinal disorders
GAIT DISTURBANCEGeneral disorders
NON-CARDIAC CHEST PAINGeneral disorders
OEDEMA PERIPHERALGeneral disorders
GASTROENTERITISInfections and infestations
OESOPHAGEAL CANDIDIASISInfections and infestations
PNEUMONIAInfections and infestations
PNEUMONIA BACTERIALInfections and infestations
TRACHEOBRONCHITISInfections and infestations
ARTERIOVENOUS FISTULA SITE HAEMORRHAGEInjury, poisoning and procedural complications
FALLInjury, poisoning and procedural complications
HEART RATE IRREGULARInvestigations
TYPE 2 DIABETES MELLITUSMetabolism and nutrition disorders
BLADDER CANCERNeoplasms benign, malignant and unspecified (incl cysts and polyps)
TUMOUR THROMBOSISNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (105 terms — click to expand)

ReactionSystemPart 1 - PlaceboPart 1 - ACE-011 0.1 mg/kgPart 2 - PlaceboPart 2 - 0.3 mg/kgPart 2 - 0.5 mg/kgPart 2 - 0.7 mg/kgPart 2 - 0.7/0.4 mg/kg
NAUSEAGastrointestinal disorders
HYPERTENSIONVascular disorders
CONSTIPATIONGastrointestinal disorders
FATIGUEGeneral disorders
PAINGeneral disorders
ARTERIOVENOUS FISTULA SITE COMPLICATIONInjury, poisoning and procedural complications
BLOOD PHOSPHORUS INCREASEDInvestigations
DIZZINESSNervous system disorders
HYPOTENSIONVascular disorders
LYMPHADENOPATHYBlood and lymphatic system disorders
ANGINA UNSTABLECardiac disorders
CORONARY ARTERY DISEASECardiac disorders
RETINAL DETACHMENTEye disorders
VITREOUS HAEMORRHAGEEye disorders
DIARRHOEAGastrointestinal disorders
GASTROOESOPHAGEAL REFLUX DISEASEGastrointestinal disorders
OESOPHAGITISGastrointestinal disorders
RECTAL HAEMORRHAGEGastrointestinal disorders
TOOTHACHEGastrointestinal disorders
VOMITINGGastrointestinal disorders
ASTHENIAGeneral disorders
MEDICAL DEVICE COMPLICATIONGeneral disorders
OEDEMAGeneral disorders
OEDEMA PERIPHERALGeneral disorders
ACARODERMATITISInfections and infestations
ARTERIOVENOUS FISTULA SITE INFECTIONInfections and infestations
BACTERAEMIAInfections and infestations
BRONCHITISInfections and infestations
CELLULITISInfections and infestations
CORNEAL INFECTIONInfections and infestations
FOLLICULITISInfections and infestations
GASTROENTERITIS VIRALInfections and infestations
OTITIS MEDIAInfections and infestations
SINUSITISInfections and infestations
STAPHYLOCOCCAL BACTERAEMIAInfections and infestations
TOOTH INFECTIONInfections and infestations
TRACHEOBRONCHITISInfections and infestations
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
VIRAL INFECTIONInfections and infestations

Most-reported serious reactions: ANGINA PECTORIS, ANAEMIA, ACUTE MYOCARDIAL INFARCTION, ANGINA UNSTABLE, ARTERIOSCLEROSIS CORONARY ARTERY, ATRIAL FIBRILLATION, CARDIOMYOPATHY, GASTROINTESTINAL HAEMORRHAGE.

Data from ClinicalTrials.gov NCT01146574 adverse events section.

Sponsor's own description

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):

  1. Clinical development of galunisertib (LY2157299 monohydrate), a small molecule inhibitor of transforming growth factor-beta signaling pathway.
    Herbertz S, Sawyer JS, Stauber AJ, Gueorguieva I, et al · · 2015 · cited 424× · PMID 26309397 · DOI 10.2147/dddt.s86621
  2. Ligand trap for the activin type IIA receptor protects against vascular disease and renal fibrosis in mice with chronic kidney disease.
    Agapova OA, Fang Y, Sugatani T, Seifert ME, et al · · 2016 · cited 66× · PMID 27165838 · DOI 10.1016/j.kint.2016.02.002
  3. Sotatercept Safety and Effects on Hemoglobin, Bone, and Vascular Calcification.
    Coyne DW, Singh HN, Smith WT, Giuseppi AC, et al · · 2019 · cited 25× · PMID 31891000 · DOI 10.1016/j.ekir.2019.08.001
  4. New Biomarkers of Ferric Management in Multiple Myeloma and Kidney Disease-Associated Anemia.
    Banaszkiewicz M, Małyszko J, Vesole DH, Woziwodzka K, et al · · 2019 · cited 15× · PMID 31683939 · DOI 10.3390/jcm8111828

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01146574.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing