Study of BMF-219 in Healthy Adult Subjects and in Adult Subjects With Type 2 Diabetes Mellitus (T2D)

NCT ID: NCT05731544

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

443 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-17

Study Completion Date

2025-07-08

Brief Summary

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A Phase 1/ 2 Randomized, Double-Blind, Placebo-Controlled Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of BMF-219, an Oral Covalent Menin Inhibitor, in Healthy Adult Subjects and in Adult Subjects with Type 2 Diabetes Mellitus.

Detailed Description

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This is a Phase 1/ 2 study that will examine the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single and multiple dose levels of BMF-219, an orally bioavailable selective covalent inhibitor of menin, in healthy subjects and in subjects with T2D. This study will assess the effect of BMF-219 as single ascending dose (SAD) and multiple ascending dose (MAD), Expansion Cohort will explore 100mg and 200mg dose levels.

Conditions

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Type 2 Diabetes Mellitus

Keywords

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Diabetes Type 2 Diabetes Mellitus Healthy Volunteers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
The subject and the investigator involved in the treatment or clinical evaluation of the subjects will be unaware of the group assignments.

Study Groups

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Phase 1 SAD Cohorts

Phase 1 SAD Cohorts with healthy adults randomized 3:1 receiving BMF-219 or placebo.

A pair of sentinel subjects (randomly assigned 1 active drug and 1 placebo) will be dosed 48 hours prior to dosing of the remainder of subjects in each cohort.

Group Type EXPERIMENTAL

BMF-219

Intervention Type DRUG

Investigational Product

Phase 1 single dose food effect sub-study

Phase 1 single dose food effect sub-study with healthy adults randomized 1:1:1:1:1:1 receiving BMF-219 or placebo fasted, with a low-fat meal, and with a high fat meal.

Group Type EXPERIMENTAL

BMF-219

Intervention Type DRUG

Investigational Product

Phase 1 single dose tablet PK sub-study

Phase 1 single dose x3 PK tablet open-label sub-study with healthy adults randomized 1:1 receiving BMF-219 or placebo fasted, with a low-fat meal, and with a high-fat meal).

Group Type EXPERIMENTAL

BMF-219

Intervention Type DRUG

Investigational Product

Phase 2 MAD Cohorts

Phase 2 MAD Cohorts with healthy adults (MAD 1, randomized 3:1) or adults with T2D (MAD 2-4 \& 6-8, randomized 5:1) receiving BMF-219 or placebo. MAD 5 is BMF-219 only.

Group Type EXPERIMENTAL

BMF-219

Intervention Type DRUG

Investigational Product

Phase 2 Expansion Cohort

Phase 2 Expansion Cohort adults with T2D randomized 3:1 ratio receiving BMF-219 or placebo.

Group Type EXPERIMENTAL

BMF-219

Intervention Type DRUG

Investigational Product

Interventions

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BMF-219

Investigational Product

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Males or females, age ≥18 and ≤65 years.
2. BMI ≥18 and ≤35 kg/m2.
3. Subjects are healthy on the basis of their medical history, physical examination, ECG, and routine laboratory data.
4. All subjects must be willing and able to provide written, signed informed consent and be willing and able to comply with all study procedures and tests.


1. Males or females, age ≥18 and ≤65 years.
2. Diagnosed with T2D within the last 15 years.
3. Treated with lifestyle management with or without at the most 3 anti-diabetic medications with a stable dose for at least 2 months prior to screening. If on metformin, the stable dose should be at least 500mg/day.
4. HbA1c ≥7.0% and ≤10.5%.
5. BMI ≥25 and ≤40 kg/m2.
6. Females are to be not pregnant, non-lactating.
7. All Subjects must be willing and able to provide written, signed informed consent and be willing and able to comply with all study procedures and tests.


1. Males or females, age ≥18 and ≤65 years.
2. Diagnosed with T2D within the last 7 years.
3. Treated with lifestyle management with or without at the most 3 anti-diabetic medications with a stable dose for at least 2 months prior to screening. If on metformin, the stable dose should be at least 500mg/day.
4. HbA1c ≥7.0% and ≤10.5%.
5. BMI ≥25 and ≤40 kg/m2.
6. Females are to be not pregnant, non-lactating.
7. All Subjects must be willing and able to provide written, signed informed consent and be willing and able to comply with all study procedures and tests.

Exclusion Criteria

1. Evidence or history of any clinically significant disease or malignancy.
2. Mean QTcF ≥ 440 msec on triplicate ECGs. Use of medications known to significantly prolong the QT or QTcF interval.
3. History of hypertension or untreated hypertension (sitting systolic blood pressure (BP) ≥140 and diastolic BP ≥90 mm Hg).
4. Known self or family history (first-degree relative) of multiple endocrine neoplasia Type 1.
5. History of stomach or intestinal surgery or resection (except appendectomy, hernia repair, and/or cholecystectomy).
6. A history or evidence of HIV, HCV, or HBV infection at screening or active COVID-19 infection on screening.
7. Receiving an investigational intervention or having participated in another clinical trial within 30 days.
8. Currently dieting (formal weight loss program) and/or are currently using or have used within 2 months of screening any drugs for weight management.
9. Received prior menin inhibitor treatment.


1. Type 1 Diabetes Mellitus or a secondary form of diabetes or any prior history of diabetic ketoacidosis.
2. Have had recurrence (≥2 episodes) of severe hypoglycemia (defined by the occurrence of neuroglycopenic symptoms requiring the assistance of another person for recovery) within the last 6 months prior to screening or, has a history of hypoglycemia unawareness or poor recognition of hypoglycemic symptoms as judged by the Investigator.
3. Known self or family history (first-degree relative) of multiple endocrine neoplasia Type 1.
4. Use of anti-diabetes medications (sulfonylureas, insulin, dipeptidyl peptidase-IV inhibitor \[DPP-4I\] \[linagliptin and saxagliptin only\] thiazolidinediones) within last 2 months prior to screening.
5. Fasting plasma glucose ≥255 mg/dL, fasting C-peptide \<0.8 ng/mL, fasting insulin \>55 μIU/mL.
6. Mean QTcF ≥450 ms. Use of medications known to significantly prolong the QT or QTc interval.
7. Fasting triglyceride ≥500 mg/dL.
8. Have an eGFR \<60 mL/min/1.73 Equation at screening.
9. AST or ALT \> 1.5 × ULN, bilirubin \> 1.5 × ULN. Isolated GGT elevation \>2.5 ULN without \> 1.5 x ULN AST, ALT and/or total bilirubin but with a history of abnormal LFTs in the last 6 months or a medical history of a liver disorder should be excluded.
10. History of acute or chronic pancreatitis and serum lipase and/or amylase above 1.5 x ULN.
11. Active HBV or active HCV at screening. Known positive test, if any, prior to screening or history of HIV. An active COVID-19 infection at screening.
12. TSH \>6 mIU/L or \<0.4 mIU/L (on stable thyroid replacement dose for 3 months prior to screening).
13. Severe uncontrolled treated or untreated hypertension (systolic blood pressure \>150 mmHg or diastolic blood pressure \>90 mmHg).
14. History of stomach or intestinal surgery or resection and/or gastroparesis (except that appendectomy, hernia repair, and/or cholecystectomy will be allowed).
15. History of cirrhosis.
16. Currently dieting (formal weight loss program) and/or are currently using or have used within 2 months of screening any drugs for weight management.


1. Type 1 Diabetes Mellitus or a secondary form of diabetes.
2. Prior history of diabetic ketoacidosis or hyperosmolar coma.
3. History of severe hypoglycemia (defined by the occurrence of neuroglycopenic symptoms requiring the assistance of another person for recovery) within the last 6 months prior to screening or, has a history of hypoglycemia unawareness.
4. Known self or family history (first-degree relative) of multiple endocrine neoplasia Type 1 (MEN1).
5. Use of any of the following anti-diabetes medications within 2 months prior to screening: sulfonylureas, insulin, and the dipeptidyl peptidase-4 inhibitors (DPP4i) linagliptin and saxagliptin (sitagliptin and other DPP4i allowed) thiazolidinones \[TZD\]) within last 2 months prior to screening.
6. Fasting plasma glucose ≥255 mg/dL, fasting C-peptide \<0.8 ng/mL, fasting insulin \>55 μIU/mL.
7. Mean QTcF interval \>450 ms on triplicate ECGs. Use of prescription or over-the-counter medications known to significantly prolong the QT or QTc interval is excluded.
8. Fasting triglyceride ≥500 mg/dL.
9. eGFR\<60 mL/min/1.73.
10. AST or ALT \>1.5 × ULN, Total bilirubin \>1.5 × ULN at screening.
11. History of acute or chronic pancreatitis and serum lipase and/or amylase above 1.5 x ULN.
12. Active HBV or active HCV at screening. Known positive test or history of HIV. An active COVID-19 infection at screening.
13. TSH \>6 mIU/L or \<0.4 mIU/L (on stable thyroid replacement dose for 3 months prior to screening).
14. Severe uncontrolled treated or untreated hypertension (systolic blood pressure \>150 mmHg or diastolic blood pressure \>90 mmHg).
15. History of stomach or intestinal surgery or resection and/or gastroparesis.
16. History of cirrhosis.
17. Currently dieting (formal weight loss program) and/or are currently using or have used within 2 months of screening any drugs for weight management.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Biomea Fusion Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Biomea Fusion Inc.

Role: STUDY_DIRECTOR

Biomea Fusion Inc.

Locations

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Hope Clinical Research

Canoga Park, California, United States

Site Status

Ark Clinical Research, LLC

Fountain Valley, California, United States

Site Status

Velocity Clinical Research

La Mesa, California, United States

Site Status

Ark Clinical Research

Long Beach, California, United States

Site Status

Catalina Research Institute, LLC

Montclair, California, United States

Site Status

Metro Clinical Trials

San Bernardino, California, United States

Site Status

Southwest General Healthcare Center

Fort Myers, Florida, United States

Site Status

G+C Research Group

Hialeah, Florida, United States

Site Status

Sunbright Health Research Centers

Homestead, Florida, United States

Site Status

Avantis Clinical Research

Miami, Florida, United States

Site Status

Century Research LLC

Miami, Florida, United States

Site Status

Entrust Clinical Research

Miami, Florida, United States

Site Status

Panax Clinical Research

Miami Lakes, Florida, United States

Site Status

David Kavtaradze MD, Inc

Cordele, Georgia, United States

Site Status

Privia Medical Group

Savannah, Georgia, United States

Site Status

Cedar Crosse Research Center

Chicago, Illinois, United States

Site Status

IMA Clinical Research St. Louis

St Louis, Missouri, United States

Site Status

Santa Rosa Medical Centers of Nevada

Las Vegas, Nevada, United States

Site Status

Omera Health

Brooklyn, New York, United States

Site Status

IMA Clinical Research Manhattan

New York, New York, United States

Site Status

Carolina Research Center

Shelby, North Carolina, United States

Site Status

Wake Forest Health Network, LLC, Medical Plaza

Winston-Salem, North Carolina, United States

Site Status

Diabetes and Endocrinology Associates of Stark County

Canton, Ohio, United States

Site Status

Medical Care, LLC

Elizabethton, Tennessee, United States

Site Status

IMA Clinical Research

Austin, Texas, United States

Site Status

Velocity Clinical Research

Dallas, Texas, United States

Site Status

Zenos Clinical Research

Dallas, Texas, United States

Site Status

Synergy Groups Medical LLC

Houston, Texas, United States

Site Status

Synergy Group Medical

Houston, Texas, United States

Site Status

Synergy Group Medical

Missouri City, Texas, United States

Site Status

Clinical Trials of Texas, LLC

San Antonio, Texas, United States

Site Status

Diabetes & Glandular Disease Clinic, P.A.

San Antonio, Texas, United States

Site Status

Simcare Medical Research

Sugar Land, Texas, United States

Site Status

Velocity Clinical Research

Waco, Texas, United States

Site Status

Velocity Clinical Research

Jordan, Utah, United States

Site Status

Manassas Clinical Research

Manassas, Virginia, United States

Site Status

BC Diabetes

Vancouver, British Columbia, Canada

Site Status

Centricity Research LMC

Toronto, Ontario, Canada

Site Status

BioPharma Services Inc.

Toronto, , Canada

Site Status

Countries

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United States Canada

Other Identifiers

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COVALENT-111

Identifier Type: -

Identifier Source: org_study_id