Trial Outcomes & Findings for A Study to Evaluate BMS-986141 Added on to Aspirin or Ticagrelor or the Combination, on Thrombus Formation in a Thrombosis Chamber Model in Participants With Stable Coronary Artery Disease and Healthy Participants (NCT NCT05093790)

NCT ID: NCT05093790

Last Updated: 2023-12-05

Results Overview

The change from baseline in thrombus area post-treatment with BMS-986141 versus pretreatment. Baseline is defined as the last non-missing result (including repeated and unscheduled assessments) with a collection date-time less than the datetime of study medication.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

58 participants

Primary outcome timeframe

Baseline, Day 1 hour 2, Day 2 hour 24

Results posted on

2023-12-05

Participant Flow

58 participants received study treatment

Participant milestones

Participant milestones
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Overall Study
STARTED
16
15
16
11
Overall Study
COMPLETED
15
15
15
11
Overall Study
NOT COMPLETED
1
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Overall Study
Failure to meet continuation criteria
0
0
1
0
Overall Study
Adverse Event
1
0
0
0

Baseline Characteristics

A Study to Evaluate BMS-986141 Added on to Aspirin or Ticagrelor or the Combination, on Thrombus Formation in a Thrombosis Chamber Model in Participants With Stable Coronary Artery Disease and Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Total
n=58 Participants
Total of all reporting groups
Age, Continuous
65.6 Years
STANDARD_DEVIATION 5.4 • n=5 Participants
66.3 Years
STANDARD_DEVIATION 7.6 • n=7 Participants
62.3 Years
STANDARD_DEVIATION 6.1 • n=5 Participants
31.0 Years
STANDARD_DEVIATION 11.9 • n=4 Participants
58.3 Years
STANDARD_DEVIATION 15.4 • n=21 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
10 Participants
n=21 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
12 Participants
n=7 Participants
16 Participants
n=5 Participants
8 Participants
n=4 Participants
48 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
15 Participants
n=7 Participants
16 Participants
n=5 Participants
11 Participants
n=4 Participants
58 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline, Day 1 hour 2, Day 2 hour 24

Population: Biomarker population-all treated participants who had any available biomarker data

The change from baseline in thrombus area post-treatment with BMS-986141 versus pretreatment. Baseline is defined as the last non-missing result (including repeated and unscheduled assessments) with a collection date-time less than the datetime of study medication.

Outcome measures

Outcome measures
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=15 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Percent Change From Baseline in Thrombus Area
Post-treatment Day 2, Hour 24, Low Shear
20.7 Percent Change
Standard Deviation 134.6
579.6 Percent Change
Standard Deviation 2125.4
31.0 Percent Change
Standard Deviation 130.0
-2.5 Percent Change
Standard Deviation 41.6
Percent Change From Baseline in Thrombus Area
On-treatment Day 1, Hour 2, Low Shear
10.0 Percent Change
Standard Deviation 260.3
538.6 Percent Change
Standard Deviation 1803.3
104.2 Percent Change
Standard Deviation 383.5
-14.9 Percent Change
Standard Deviation 50.2
Percent Change From Baseline in Thrombus Area
On-treatment Day 1, Hour 2, High Shear
-23.0 Percent Change
Standard Deviation 24.1
-18.4 Percent Change
Standard Deviation 27.5
-24.2 Percent Change
Standard Deviation 17.2
-27.7 Percent Change
Standard Deviation 24.4
Percent Change From Baseline in Thrombus Area
Post-treatment Day 2, Hour 24, High Shear
-4.8 Percent Change
Standard Deviation 30.0
-3.5 Percent Change
Standard Deviation 67.1
-10.6 Percent Change
Standard Deviation 24.0
-23.0 Percent Change
Standard Deviation 22.2

SECONDARY outcome

Timeframe: Vital signs will be collected at check-in and prior to and after each chamber assessment on Days 1 and 2

Population: All treated participants

The number of participants with abnormal vital sign values. The criteria used for classifying vital sign results as markedly abnormal is listed below. Baseline is defined as the last non-missing result with a collection date-time less than the date-time of the first dose of study medication. For Treatment Arms 1, 2, and 3, a baseline chamber run was performed approximately 2 hours after background therapy (ticagrelor, aspirin, or ticagrelor + aspirin) and prior to BMS-986141 administration. A second chamber run was performed 2 hours following oral administration of BMS-986141. For Treatment Arm 4, a baseline chamber run was performed prior to BMS-986141 administration. A second chamber run was performed 2 hours following oral administration of BMS-986141. Participants received background therapy before the final chamber run, and the final chamber run was performed on Day 2, approximately 24 hours after BMS-986141 dosing.

Outcome measures

Outcome measures
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) Day 1 > 90 AND CHANGE FROM BASELINE > 10
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) Post-Chamber Run < 55 AND CHANGE FROM BASELINE < -10
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) Post-Chamber Run > 90 AND CHANGE FROM BASELINE > 10
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) 2 hours Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) 2 hours Post-Chamber Run > 90 AND CHANGE FROM BASELINE > 10
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) 24 hours Pre-Chamber Run > 90 AND CHANGE FROM BASELINE > 10
2 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
DIASTOLIC BLOOD PRESSURE (MMHG) 24 hours Pre-Chamber Run < 55 AND CHANGE FROM BASELINE < -10
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
HEART RATE (BEATS/MIN) Day 1 HR < 55 AND CHANGE FROM BASELINE < -15
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
HEART RATE (BEATS/MIN) Pre-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
HEART RATE (BEATS/MIN) Post-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
HEART RATE (BEATS/MIN) 2 Hour Pre-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
HEART RATE (BEATS/MIN) 2 Hour Post-Chamber Run HR < 55 AND CHANGE FROM BASELINE < -15
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Day 1
1 Participants
0 Participants
3 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Pre-Chamber Run
4 Participants
0 Participants
3 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 Post-Chamber Run
5 Participants
3 Participants
4 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 2 Hour Pre-Chamber Run
2 Participants
4 Participants
4 Participants
1 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 2 Hour Post-Chamber Run
2 Participants
2 Participants
2 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 24 Hour Pre-Chamber Run
1 Participants
3 Participants
6 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
RESPIRATORY RATE (BREATHS/MIN) > 16 OR CHANGE FROM BASELINE > 10 24 Hour Post-Chamber Run
0 Participants
2 Participants
8 Participants
1 Participants
Number of Participants Experiencing Abnormal Vital Signs
SYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 Day 1 Pre-Chamber Run
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
SYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 2 Hour Pre-Chamber Run
1 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
SYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 2 Hour Post-Chamber Run
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
SYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 24 Hour Pre-Chamber Run
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
SYSTOLIC BLOOD PRESSURE (MMHG) > 140 AND CHANGE FROM BASELINE > 20 24 Hour Post-Chamber Run
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
TEMPERATURE (C) > 38.3 OR CHANGE FROM BASELINE > 1.6 Day 1
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Vital Signs
TEMPERATURE (C) > 38.3 OR CHANGE FROM BASELINE > 1.6 Pre-Chamber Run
1 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Electrocardiograms were collected at check-in, and 2 and 24 hours after dosing

Population: All treated participants

The number of participants with abnormal electrocardiogram values. The criteria used for classifying electrocardiogram results as markedly abnormal is listed below. The 2-hour and 24-hour ECGs should are performed prior to the Badimon Chamber run. Baseline is defined as the last non-missing result with a collection date-time less than the date-time of the first dose of study medication.

Outcome measures

Outcome measures
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
PR INTERVAL, AGGREGATE (MSEC) Baseline <210
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
PR INTERVAL, AGGREGATE (MSEC) Baseline >=210
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
PR INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <210
4 Participants
5 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
PR INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=210
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QRS DURATION, AGGREGATE (MSEC) Baseline <120
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QRS DURATION, AGGREGATE (MSEC) Baseline >=120
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QRS DURATION, AGGREGATE (MSEC) Day 2, Hour 24 <120
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QRS DURATION, AGGREGATE (MSEC) Day 2, Hour 24 >=120
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QT INTERVAL, AGGREGATE (MSEC) Baseline <500
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QT INTERVAL, AGGREGATE (MSEC) Baseline >=500
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QT INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <500
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QT INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=500
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QTCF INTERVAL, AGGREGATE (MSEC) Baseline <450
5 Participants
6 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QTCF INTERVAL, AGGREGATE (MSEC) Baseline >=450
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QTCF INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 <450
5 Participants
5 Participants
1 Participants
0 Participants
Number of Participants Experiencing Abnormal Electrocardiogram (ECG) Values
QTCF INTERVAL, AGGREGATE (MSEC) Day 2, Hour 24 >=450
0 Participants
1 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From baseline up to 24 hours post dose

Population: All treated participants

The number of participants with abnormal clinical laboratory results. The criteria used for classifying laboratory test results as markedly abnormal is listed below.

Outcome measures

Outcome measures
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Number of Participants Experiencing Clinical Lab Abnormalities
BLOOD, URINE (N/A)-Abnormal High
1 Participants
1 Participants
1 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
HEMOGLOBIN (G/DL)-Abnormal Low
0 Participants
2 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
HEMATOCRIT (%)-Abnormal Low
0 Participants
2 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
ERYTHROCYTES (X10*6 C/UL)-Abnormal Low
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
LEUKOCYTES (X10*3 C/UL)-Abnormal Low
0 Participants
0 Participants
1 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
LEUKOCYTES (X10*3 C/UL)-Abnormal High
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
NEUTROPHILS (ABSOLUTE) (X10*3 C/UL)-Abnormal Low
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
BLOOD UREA NITROGEN (MG/DL)-Abnormal High
3 Participants
3 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
POTASSIUM, SERUM (MEQ/L)-Abnormal Low
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
CHLORIDE, SERUM (MEQ/L)-Abnormal High
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
CALCIUM, TOTAL (MG/DL)-Abnormal Low
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
PHOSPHORUS, INORGANIC (MG/DL)-Abnormal Low
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
MAGNESIUM, SERUM (MEQ/L)-Abnormal Low
0 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
GLUCOSE, FASTING SERUM (MG/DL)-Abnormal Low
0 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
GLUCOSE, FASTING SERUM (MG/DL)-Abnormal High
2 Participants
0 Participants
1 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
PROTEIN, TOTAL (G/DL) -Abnormal Low
0 Participants
1 Participants
0 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
ALBUMIN (G/DL)-Abnormal Low
1 Participants
2 Participants
1 Participants
1 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
CREATINE KINASE (U/L)-Abnormal High
1 Participants
1 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
PROTEIN, URINE (N/A)-Abnormal High
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
GLUCOSE, URINE (N/A)-Abnormal High
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
RBC, URINE (HPF)-Abnormal High
0 Participants
0 Participants
2 Participants
0 Participants
Number of Participants Experiencing Clinical Lab Abnormalities
WBC, URINE (HPF)-Abnormal High
1 Participants
0 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: From first dose up to 8 days post last dose

Population: All treated participants

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. Adverse events are graded on a scale from 1 to 5, with Grade 1 being mild and asymptomatic; Grade 2 is moderate requiring minimal, local or noninvasive intervention; Grade 3 is severe or medically significant but not immediately life-threatening; Grade 4 events are usually severe enough to require hospitalization; Grade 5 events are fatal.

Outcome measures

Outcome measures
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 Participants
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 Participants
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 Participants
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Number of Participants Experiencing Adverse Events (AEs)
6 Participants
0 Participants
4 Participants
1 Participants

Adverse Events

Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Arm 2: 75 mg Aspirin + 4 mg BMS-986141

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Arm 4: Heathy Participants

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm 1: 90 mg Ticagrelor + 4 mg BMS-986141
n=16 participants at risk
Single oral dose of 90 mg ticagrelor alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Twice daily dosing of ticagrelor will be continued on Day 2.
Arm 2: 75 mg Aspirin + 4 mg BMS-986141
n=15 participants at risk
Single oral dose of 75 mg aspirin alone, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). Daily dosing of aspirin will continue on Day 2.
Arm 3: 90 mg Ticagrelor + 75 mg Aspirin + 4 mg BMS-986141
n=16 participants at risk
Single oral dose of 90 mg ticagrelor + 75 mg aspirin, followed by a single oral dose of 4 mg BMS-986141 approximately 2 hours later (Day 1). A second dose of ticagrelor will be taken approximately 12 hours after the first dose. Ticagrelor + aspirin dosing will continue on Day 2.
Arm 4: Heathy Participants
n=11 participants at risk
Heathy Participants received a single dose of 4 mg BMS-986141 on Day 1.
Blood and lymphatic system disorders
Increased tendency to bruise
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Gastrointestinal disorders
Diarrhoea
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Infections and infestations
COVID-19
12.5%
2/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
9.1%
1/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Infections and infestations
Lower respiratory tract infection
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Injury, poisoning and procedural complications
Contusion
0.00%
0/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
12.5%
2/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/15 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
6.2%
1/16 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.
0.00%
0/11 • Adverse events were assessed from first dose to 30 days following last dose, up to approximately 32 days.

Additional Information

Bristol-Myers Squibb Study Director

Bristol-Myers Squibb

Phone: Please Email

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER