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NCT03486899: FALCON 1

A Study of Experimental Medication BMS-986036 in Adults With Nonalcoholic Steatohepatitis (NASH) and Stage 3 Liver Fibrosis

Completed Phase 2 Results posted Last updated 9 September 2022
What this trial tests

Phase 2 trial testing BMS-986036 in Liver Fibrosis in 197 participants. Completed in 17 August 2021.

Timeline
19 June 2018
Primary endpoint
14 September 2020
17 August 2021

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment197
Start date19 June 2018
Primary completion14 September 2020
Estimated completion17 August 2021
Sites89 locations across Japan, United States

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

Adults 18 to 75, any sex, with Liver Fibrosis or Nonalcoholic Fatty Liver Disease (NAFLD). 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.

The Percentage of Participants With Improvement in Fibrosis or Nonalcoholic Steatohepatitis (NASH) at Week 24 Primary · From first dose to 24 weeks after first dose

The percentage of participants who achieved a ≥1-stage improvement in fibrosis without worsening of NASH or NASH improvement with no worsening of fibrosis at week 24 in liver biopsy. Improvement in fibrosis is defined by the NASH Clinical Research Network (CRN) Fibrosis Score. Improvement in NASH is defined by a ≥2-stage decrease in the nonalcoholic fatty liver disease activity score (NAS). Worsening of NASH is defined as an increase of the nonalcoholic fatty liver disease (NAFLD) Activity Score (NAS) by ≥1 point. Worsening of fibrosis is defined as an increase of fibrosis by ≥1 point as deter

GroupValue95% CI
BMS-986036 10 mg30.60.88 – 8.52
BMS-986036 20 mg24.00.61 – 6.27
BMS-986036 40 mg26.50.71 – 7.10
Placebo14.3NA – NA
The Percentage of Participants Who Achieved an Improvement in Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN) Fibrosis Score at Week 24 Secondary · From first dose to 24 weeks after first dose

An improvement in fibrosis is defined as a decrease of ≥ 1-stage in the NASH CRN Fibrosis Score at week 24 in liver biopsy. NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).

GroupValue95% CI
BMS-986036 10 mg16.3
BMS-986036 20 mg14.0
BMS-986036 40 mg20.4
Placebo8.2
The Percentage of Participants Who Achieve a ≥ 1-Stage Improvement in Ishak Fibrosis Score at Week 24 Secondary · From first dose to 24 weeks after first dose

An improvement in Ishak fibrosis is defined as a decrease of fibrosis by ≥ 1-stage in the Ishak fibrosis score at week 24 in liver biopsy. ISHAKs uses a 0-6 scale: 1: centrilobular pericellular fibrosis, 2: centrilobular and periportal fibrosis, 3: bridging fibrosis (few bridges), 4: bridging fibrosis (many bridges), 5: early or incomplete cirrhosis, 6: established or advanced cirrhosis.

GroupValue95% CI
BMS-986036 10 mg22.4
BMS-986036 20 mg16.0
BMS-986036 40 mg26.5
Placebo12.2
The Percentage of Participants With Any Improvement in Collagen Proportionate Area (CPA) at Week 24 Secondary · From first dose to 24 weeks after first dose

An improvement in CPA is defined as any decrease in CPA at week 24 in liver biopsy.

GroupValue95% CI
BMS-986036 10 mg42.9
BMS-986036 20 mg53.5
BMS-986036 40 mg55.8
Placebo65.9
The Percentage of Participants With Nonalcoholic Steatohepatitis (NASH) Resolution Without Worsening of Fibrosis at Week 24 Secondary · From first dose to 24 weeks after first dose

The percentage of participants with NASH resolution without worsening of fibrosis at week 24 in liver biopsy. NASH resolution defined by the nonalcoholic fatty liver disease activity score (NAS) component of ballooning = 0 and inflammation = 0-1. Worsening of fibrosis is defined as an increase of fibrosis by ≥ 1-stage in the NASH Clinical Research Network (CRN) Fibrosis Score. Ballooning = 0 (none) inflammation = 0 (none) - 1 (Grade \<2). NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridg

GroupValue95% CI
BMS-986036 10 mg8.2
BMS-986036 20 mg4.0
BMS-986036 40 mg2.0
Placebo6.1
The Percentage of Participants With Nonalcoholic Steatohepatitis (NASH) Resolution at Week 24 Secondary · From first dose to 24 weeks after first dose

NASH resolution defined by the nonalcoholic fatty liver disease activity score (NAS) component of ballooning = 0 and inflammation = 0-1 at week 24 in liver biopsy. Ballooning = 0 (none) inflammation = 0 (none) - 1 (Grade \<2).

GroupValue95% CI
BMS-986036 10 mg8.2
BMS-986036 20 mg4.0
BMS-986036 40 mg2.0
Placebo6.1
The Percentage of Participants With Nonalcoholic Steatohepatitis (NASH) Improvement Without Worsening of Fibrosis at Week 24 Secondary · From first dose to 24 weeks after first dose

The percentage of participants with NASH improvement without worsening of fibrosis at week 24 in liver biopsy. NASH improvement defined as a reduction of nonalcoholic fatty liver disease activity score (NAS) by ≥2 points with contribution from \>1 NAS component. Worsening of fibrosis is defined as an increase of ≥1-point in the NASH Clinical Research Network (CRN) Fibrosis Score. NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).

GroupValue95% CI
BMS-986036 10 mg22.4
BMS-986036 20 mg14.0
BMS-986036 40 mg16.3
Placebo10.2
The Percentage of Participants Who Achieve a ≥ 1-Stage Improvement in Fibrosis Without Worsening of Nonalcoholic Steatohepatitis (NASH) at Week 24 Secondary · From first dose to 24 weeks after first dose

An improvement in fibrosis is defined as a decrease of fibrosis by ≥1-stage in the NASH Clinical Research Network (CRN) Fibrosis Score at week 24 in liver biopsy. Worsening of NASH is defined as an increase of the nonalcoholic fatty liver disease activity score (NAS) by ≥ 1-stage. NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).

GroupValue95% CI
BMS-986036 10 mg16.3
BMS-986036 20 mg14.0
BMS-986036 40 mg16.3
Placebo8.2
The Percentage of Participants With Nonalcoholic Steatohepatitis (NASH) Improvement at Week 24 Secondary · From first dose to 24 weeks after first dose

The percentage of participants with NASH improvement at week 24 in liver biopsy. NASH improvement is defined as a reduction of nonalcoholic fatty liver disease activity score (NAS) by ≥ 2 points with contribution from \> 1 NAS component. The NASH CRN system assesses liver biopsies for degree of steatosis (0-3), lobular inflammation (0-3), hepatocellular ballooning (0-2), and fibrosis (0-4). The 3 categories are added together in an unweighted fashion to determine the NAS, which ranges from 0 to 8.

GroupValue95% CI
BMS-986036 10 mg24.5
BMS-986036 20 mg18.0
BMS-986036 40 mg16.3
Placebo10.2
The Percentage of Participants With Progression to Cirrhosis at Week 24 Secondary · From first dose to 24 weeks after first dose

Progression to cirrhosis is defined by the nonalcoholic steatohepatitis clinical research network (NASH CRN) Fibrosis Stage 4 at Week 24 in liver biopsy. NASH CRN Fibrosis is staged on a 0-4 scale: 0 (none); 1 (perisinusoidal or periportal fibrosis); 2 (perisinusoidal and portal/periportal fibrosis); 3 (bridging fibrosis); 4 (cirrhosis).

GroupValue95% CI
BMS-986036 10 mg30.6
BMS-986036 20 mg22.0
BMS-986036 40 mg28.6
Placebo20.4

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality was assessed from first dose to study completion (up to approximately 35 months). SAEs and Other AEs were assessed from first dose to 30 days following last dose (up to approximately 52 weeks).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

BMS-986036 10 mg
Serious: 3/49 (6%)
Deaths: 1/49
BMS-986036 20 mg
Serious: 7/50 (14%)
Deaths: 0/50
BMS-986036 40 mg
Serious: 6/49 (12%)
Deaths: 0/49
BMS-986036 Placebo
Serious: 9/49 (18%)
Deaths: 1/49

Serious adverse events (29 terms)

ReactionSystemBMS-986036 10 mgBMS-986036 20 mgBMS-986036 40 mgBMS-986036 Placebo
Non-cardiac chest painGeneral disorders
Coronary artery diseaseCardiac disorders
Coronary artery occlusionCardiac disorders
Vertigo positionalEar and labyrinth disorders
Abdominal pain upperGastrointestinal disorders
ColitisGastrointestinal disorders
Epiploic appendagitisGastrointestinal disorders
VomitingGastrointestinal disorders
CholecystitisHepatobiliary disorders
COVID-19 pneumoniaInfections and infestations
Campylobacter infectionInfections and infestations
Post procedural infectionInfections and infestations
SepsisInfections and infestations
UrosepsisInfections and infestations
Foot fractureInjury, poisoning and procedural complications
Procedural painInjury, poisoning and procedural complications
Road traffic accidentInjury, poisoning and procedural complications
Splenic ruptureInjury, poisoning and procedural complications
Liver function test increasedInvestigations
Cervical spinal stenosisMusculoskeletal and connective tissue disorders
Rotator cuff syndromeMusculoskeletal and connective tissue disorders
Hepatocellular carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Neuroendocrine carcinoma metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular accidentNervous system disorders
DizzinessNervous system disorders
Other adverse events (40 terms — click to expand)

ReactionSystemBMS-986036 10 mgBMS-986036 20 mgBMS-986036 40 mgBMS-986036 Placebo
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Injection site erythemaGeneral disorders
Abdominal pain upperGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Injection site bruisingGeneral disorders
Injection site painGeneral disorders
Increased appetiteMetabolism and nutrition disorders
Abdominal distensionGastrointestinal disorders
Injection site pruritusGeneral disorders
PainGeneral disorders
BronchitisInfections and infestations
COVID-19Infections and infestations
NasopharyngitisInfections and infestations
Procedural painInjury, poisoning and procedural complications
HypoglycaemiaMetabolism and nutrition disorders
Type 2 diabetes mellitusMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Frequent bowel movementsGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
VomitingGastrointestinal disorders
Ear infectionInfections and infestations
SinusitisInfections and infestations
Vulvovaginal mycotic infectionInfections and infestations
Flank painMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
AnxietyPsychiatric disorders
HypertensionVascular disorders

Most-reported serious reactions: Non-cardiac chest pain, Coronary artery disease, Coronary artery occlusion, Vertigo positional, Abdominal pain upper, Colitis, Epiploic appendagitis, Vomiting.

Data from ClinicalTrials.gov NCT03486899 adverse events section.

Sponsor's own description

This is a study of experimental medication BMS-986036 given to adults with Nonalcoholic Steatohepatitis (NASH; the buildup of fat and inflammation in the liver that is not caused by alcohol) and stage 3 liver fibrosis (severe fibrosis).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Polymer-drug conjugate therapeutics: advances, insights and prospects.
    Ekladious I, Colson YL, Grinstaff MW. · · 2019 · cited 493× · PMID 30542076 · DOI 10.1038/s41573-018-0005-0
  2. Emerging therapeutic approaches for the treatment of NAFLD and type 2 diabetes mellitus.
    Ferguson D, Finck BN. · · 2021 · cited 370× · PMID 34131333 · DOI 10.1038/s41574-021-00507-z
  3. NAFLD: Mechanisms, Treatments, and Biomarkers.
    Nassir F. · · 2022 · cited 245× · PMID 35740949 · DOI 10.3390/biom12060824
  4. Targeted therapeutics and novel signaling pathways in non-alcohol-associated fatty liver/steatohepatitis (NAFL/NASH).
    Xu X, Poulsen KL, Wu L, Liu S, et al · · 2022 · cited 235× · PMID 35963848 · DOI 10.1038/s41392-022-01119-3
  5. Combination therapy for non-alcoholic steatohepatitis: rationale, opportunities and challenges.
    Dufour JF, Caussy C, Loomba R. · · 2020 · cited 145× · PMID 32381514 · DOI 10.1136/gutjnl-2019-319104
  6. New targets for NAFLD.
    Parlati L, Régnier M, Guillou H, Postic C. · · 2021 · cited 128× · PMID 34667947 · DOI 10.1016/j.jhepr.2021.100346
  7. Therapeutic targets, novel drugs, and delivery systems for diabetes associated NAFLD and liver fibrosis.
    Kumar V, Xin X, Ma J, Tan C, et al · · 2021 · cited 128× · PMID 34314787 · DOI 10.1016/j.addr.2021.113888
  8. Nonalcoholic Fatty Liver Disease (NAFLD). Mitochondria as Players and Targets of Therapies?
    Di Ciaula A, Passarella S, Shanmugam H, Noviello M, et al · · 2021 · cited 93× · PMID 34065331 · DOI 10.3390/ijms22105375

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Other trials of BMS-986036

Trials testing the same drug.

Other recruiting trials for Liver Fibrosis

Currently open trials in the same condition.

Other Bristol-Myers Squibb trials

Trials by the same sponsor.

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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/NCT03486899.

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