Bimagrumab
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Also known as BYM-338BYM338O81t794r34
Summary
Bimagrumab (CHEMBL3137353) is a phase-3 clinical-stage antibody targeting ACVR2A and ACVR2B; indicated across 6 conditions including inclusion body myositis and chronic obstructive pulmonary disease.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Antibody
- Targets: 2 (ACVR2A, ACVR2B)
- Indications: 6 conditions
- Clinical trials: 16
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3137353 |
| Name | Bimagrumab |
| Type | Antibody |
| Max phase | 3 |
Also known as: Bimagrumab, BYM-338, BYM338, O81t794r34, BIMAGRUMAB
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| ACVR2A | activin A receptor type 2A | Binding | 9.36 | 1.4% | P27037 |
| ACVR2B | activin A receptor type 2B | Binding | 11.76 | 0.4% | Q13705 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 2 target gene(s): ACVR2A, ACVR2B.
Top Reactome pathways
9 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signaling by NODAL | 2 | ACVR2A, ACVR2B |
| Developmental Biology | 2 | ACVR2A, ACVR2B |
| Regulation of signaling by NODAL | 2 | ACVR2A, ACVR2B |
| Signaling by Activin | 2 | ACVR2A, ACVR2B |
| Signal Transduction | 2 | ACVR2A, ACVR2B |
| Signaling by BMP | 2 | ACVR2A, ACVR2B |
| Signaling by TGFB family members | 2 | ACVR2A, ACVR2B |
| Signaling by TGFBR3 | 1 | ACVR2A |
| TGFBR3 regulates activin signaling | 1 | ACVR2A |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| gastrulation with mouth forming second | 2 |
| cell surface receptor protein serine/threonine kinase signaling pathway | 2 |
| determination of left/right symmetry | 2 |
| pattern specification process | 2 |
| mesoderm development | 2 |
| anterior/posterior pattern specification | 2 |
| positive regulation of bone mineralization | 2 |
| BMP signaling pathway | 2 |
| activin receptor signaling pathway | 2 |
| positive regulation of activin receptor signaling pathway | 2 |
| odontogenesis of dentin-containing tooth | 2 |
| positive regulation of osteoblast differentiation | 2 |
| cellular response to growth factor stimulus | 2 |
| protein phosphorylation | 2 |
| regulation of signal transduction | 2 |
Indications & clinical
Indications
6 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| inclusion body myositis | 3 | MONDO:0007827 | EFO:0007323 |
| chronic obstructive pulmonary disease | 2 | MONDO:0005002 | EFO:0000341 |
| muscular atrophy | 2 | MONDO:0004323 | EFO:0009851 |
| type 2 diabetes mellitus | 2 | MONDO:0005148 | MONDO:0005148 |
2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 16.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 12 |
| PHASE2/PHASE3 | 2 |
| PHASE3 | 1 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01925209 | PHASE2/PHASE3 | COMPLETED | Efficacy and Safety of Bimagrumab/BYM338 at 52 Weeks on Physical Function, Muscle Strength, Mobility in sIBM Patients |
| NCT02250443 | PHASE2/PHASE3 | COMPLETED | Study of Long-term Safety, Efficacy Tolerability of BYM338 in Patients With Sporadic Inclusion Body Myositis |
| NCT02573467 | PHASE3 | COMPLETED | An Extension Study of the Efficacy, Safety and Tolerability of BYM338 (Bimagrumab) in Patients With Sporadic Inclusion Body Myositis Who Previously Participated in the Core Study CBYM338B2203 |
| NCT05933499 | PHASE2 | RECRUITING | Effect of Tirzepatide and Bimagrumab on Body Composition, Insulin Sensitivity, and Bone in Adults With Obesity |
| NCT06643728 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study to Investigate Weight Management With Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Adults With Obesity or Overweight |
| NCT01423110 | PHASE2 | COMPLETED | Efficacy, Safety and Tolerability of BYM338 in Patients With Sporadic Inclusion Body Myositis |
| NCT01601600 | PHASE2 | COMPLETED | A Multi-center Study to Assess the Effects of BYM338 on Skeletal Muscle in Sarcopenic Adults |
| NCT01669174 | PHASE2 | COMPLETED | BYM338 in Chronic Obstructive Pulmonary Disease (COPD) Patients With Cachexia |
| NCT01868685 | PHASE2 | WITHDRAWN | Study of Muscle Effects of BYM338 in Mechanically Ventilated Patients |
| NCT02152761 | PHASE2 | COMPLETED | Study of Efficacy and Safety of Bimagrumab in Patients After Hip Fracture Surgery |
| NCT02333331 | PHASE2 | COMPLETED | Dose Range Finding Study of Bimagrumab in Sarcopenia |
| NCT02468674 | PHASE2 | COMPLETED | A 24-week Off-drug Extension Study in Sarcopenic Elderly Who Completed Treatment in the 6-month Core Study |
| NCT03005288 | PHASE2 | COMPLETED | Safety, Pharmacokinetics and Efficacy of Bimagrumab in Overweight and Obese Patients With Type 2 Diabetes |
| NCT05616013 | PHASE2 | COMPLETED | Safety and Efficacy of Bimagrumab and Semaglutide in Adults Who Are Overweight or Obese |
| NCT06901349 | PHASE2 | WITHDRAWN | A Study of Bimagrumab (LY3985863) and Tirzepatide (LY3298176), Alone or in Combination, in Participants With Obesity or Overweight With Type 2 Diabetes |
| NCT06890611 | PHASE1 | COMPLETED | A Study of Bimagrumab Alone (LY3985863) and Bimagrumab With Tirzepatide (LY900042) in Healthy Participants |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
64 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| Axitinib | ChEMBL + PubChem | Phase 4 (approved) | ACVR2A, ACVR2B |
| Pazopanib | ChEMBL + PubChem | Phase 4 (approved) | ACVR2A, ACVR2B |
| DASATINIB | ChEMBL | Phase 4 (approved) | ACVR2A, ACVR2B |
| ALVOCIDIB | ChEMBL | Phase 3 | ACVR2A, ACVR2B |
| LESTAURTINIB | ChEMBL | Phase 3 | ACVR2A, ACVR2B |
| Abemaciclib | PubChem | Approved | ACVR2A, ACVR2B |
| Acalabrutinib | PubChem | Approved | ACVR2A, ACVR2B |
| Afatinib | PubChem | Approved | ACVR2A, ACVR2B |
| Bosutinib | PubChem | Approved | ACVR2A, ACVR2B |
| Crizotinib | PubChem | Approved | ACVR2A, ACVR2B |
| Erlotinib | PubChem | Approved | ACVR2A, ACVR2B |
| Fedratinib | PubChem | Approved | ACVR2A, ACVR2B |
| Gefitinib | PubChem | Approved | ACVR2A, ACVR2B |
| Imatinib | PubChem | Approved | ACVR2A, ACVR2B |
| Lapatinib | PubChem | Approved | ACVR2A, ACVR2B |
| Midostaurin | PubChem | Approved | ACVR2A, ACVR2B |
| Neratinib | PubChem | Approved | ACVR2A, ACVR2B |
| Nilotinib | PubChem | Approved | ACVR2A, ACVR2B |
| Quizartinib | PubChem | Approved | ACVR2A, ACVR2B |
| Ruxolitinib | PubChem | Approved | ACVR2A, ACVR2B |
| Selumetinib | PubChem | Approved | ACVR2A, ACVR2B |
| Sorafenib | PubChem | Approved | ACVR2A, ACVR2B |
| Sunitinib | PubChem | Approved | ACVR2A, ACVR2B |
| Tofacitinib | PubChem | Approved | ACVR2A, ACVR2B |
| Vandetanib | PubChem | Approved | ACVR2A, ACVR2B |
| SARACATINIB | ChEMBL | Phase 3 | ACVR2B |
| TG100-801 | ChEMBL | Phase 2 | ACVR2B |
| VX-702 | ChEMBL | Phase 2 | ACVR2B |
| Alectinib | PubChem | Approved | ACVR2B |
| Baricitinib | PubChem | Approved | ACVR2B |
| Binimetinib | PubChem | Approved | ACVR2B |
| Cabozantinib | PubChem | Approved | ACVR2B |
| Capivasertib | PubChem | Approved | ACVR2B |
| Capmatinib | PubChem | Approved | ACVR2B |
| Ceritinib | PubChem | Approved | ACVR2B |
| Cobimetinib | PubChem | Approved | ACVR2B |
| Dabrafenib | PubChem | Approved | ACVR2B |
| dacomitinib | PubChem | Approved | ACVR2B |
| Encorafenib | PubChem | Approved | ACVR2B |
| Entrectinib | PubChem | Approved | ACVR2B |
| Everolimus | PubChem | Approved | ACVR2B |
| Fostamatinib | PubChem | Approved | ACVR2B |
| Gilteritinib | PubChem | Approved | ACVR2B |
| Ibrutinib | PubChem | Approved | ACVR2B |
| Idelalisib | PubChem | Approved | ACVR2B |
| Lenvatinib | PubChem | Approved | ACVR2B |
| mirdametinib | PubChem | Approved | ACVR2B |
| Momelotinib | PubChem | Approved | ACVR2B |
| Osimertinib | PubChem | Approved | ACVR2B |
| Pacritinib | PubChem | Approved | ACVR2B |
| Palbociclib | PubChem | Approved | ACVR2B |
| Pexidartinib | PubChem | Approved | ACVR2B |
| Ponatinib | PubChem | Approved | ACVR2B |
| regorafenib | PubChem | Approved | ACVR2B |
| Ribociclib | PubChem | Approved | ACVR2B |
| Sirolimus | PubChem | Approved | ACVR2B |
| Temsirolimus | PubChem | Approved | ACVR2B |
| Tepotinib | PubChem | Approved | ACVR2B |
| Tirbanibulin | PubChem | Approved | ACVR2B |
| Tivozanib | PubChem | Approved | ACVR2B |
Related Atlas pages
- Genes: ACVR2A, ACVR2B
- Diseases: inclusion body myositis
- Drugs: Axitinib, Pazopanib, Dasatinib, Alvocidib, Lestaurtinib, Abemaciclib, Acalabrutinib, Afatinib, Bosutinib, Crizotinib, Erlotinib, Fedratinib, Gefitinib, Imatinib, Lapatinib, Midostaurin, Neratinib, Nilotinib, Quizartinib, Ruxolitinib, Selumetinib, Sorafenib, Sunitinib, Tofacitinib, Vandetanib, Saracatinib, Alectinib, Baricitinib, Binimetinib, Cabozantinib, Capivasertib, Capmatinib, Ceritinib, Cobimetinib, Dabrafenib, dacomitinib, Encorafenib, Entrectinib, Everolimus, Fostamatinib, Gilteritinib, Ibrutinib, Idelalisib, Lenvatinib, Momelotinib, Osimertinib, Pacritinib, Palbociclib, Pexidartinib, Ponatinib, regorafenib, Ribociclib, Sirolimus, Temsirolimus, Tepotinib, Tirbanibulin, Tivozanib