Bellerophon Therapeutics Stock Nosedive: Here's Why

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  • Bellerophon Therapeutics Inc BLPH announced top-line results from its pivotal Phase 3 REBUILD trial evaluating the safety and efficacy of INOpulse for fibrotic Interstitial Lung Disease (fILD).
  • One hundred forty-five patients were enrolled and treated with either INOpulse at a dose of iNO45 or a placebo. 
  • The primary endpoint was the change in moderate to vigorous physical activity (MVPA) as measured by actigraphy after 16 weeks of chronic treatment.
  • The trial did not meet its primary endpoint, with iNO45 performing worse than the placebo by 5.49 minutes daily.
  • The secondary endpoints demonstrated minimal difference between the two groups, with none approaching statistical significance. 
  • Overall, INOpulse was well-tolerated with no safety concerns, consistent with what has been observed in the prior Phase 2 studies.
  • The overall activity showed a 3.51 count/min benefit in favor of iNO45 (p=0.8572).
  • 6 Minute Walk Distance showed 0.19-meter benefit in favor of iNO45 (p=0.9866).
  • Patient-reported outcomes (St. George's Respiratory Questionnaire and UCSD Shortness of Breath) were slightly in favor of placebo, while time-to-event assessments (Clinical Worsening, Clinical Deterioration, and Clinical Improvement) showed little difference, and none were statistically significant.
  • Subjects with treatment-emergent adverse events slightly favored the placebo (84.0% vs. 74.3%).
  • Earlier this year, Bellerophon entered into a license agreement for INOpulse with Baylor BioSciences.
  • Price Action: BLPH shares are down 85% at $1.06 on the last check Monday.
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