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Phase II Study to Evaluate the Efficacy of AMG 317

Primary Purpose

Asthma

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
AMG 317 75 mg
AMG 317 150 mg
AMG 317 300 mg
Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Asthma focused on measuring Asthma, Allergy, IL-13, IL-4, IL-4R

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or females 18 to 65 years of age at the time of screening
  • Baseline percent of predicted FEV1 ≥ 50% to ≤ 80% at screening
  • At least 12% reversibility over baseline FEV1 with beta agonist inhalation, which can be demonstrated in the office or documented by medical record within the past 12 months
  • Inhaled corticosteroid (ICS) ≥ 200 and ≤ 1000 µg/day fluticasone or equivalent. Stable ICS dose for ≥ 30 days before screening and dose expected to remain stable during treatment with investigational agent. Must have used ICS for at least the last 3 consecutive months before screening
  • If receiving allergen immunotherapy, a stable dose for > 3 months before screening and anticipated to remain stable for the duration of the study
  • Positive to skin prick or RAST
  • Ongoing asthma symptoms with ACQ score at screening and baseline ≥ 1.5 points
  • Nonsmoker or ex-smoker with < 10 pack-years (eg, 1 pack per day for 10 years) who stopped ≥ 1 year ago

Exclusion Criteria:

  • Acute asthma exacerbation requiring emergency room (ER) treatment or hospitalization within 3 months
  • History of endotracheal intubation for asthma-related exacerbation within 3 years of screening
  • Respiratory illness within 4 weeks of screening
  • History of chronic obstructive pulmonary disease (COPD) or other chronic pulmonary condition other than asthma
  • Received long-acting beta agonist, theophylline, inhaled anticholinergics, oral beta 2 agonists, or cromolyn therapeutics within 1 week of first run-in visit.
  • Leukotriene antagonists within 2 weeks before first run-in visit
  • Oral or parenteral corticosteroids within 6 weeks before first run-in visit
  • Live/attenuated vaccinations within 4 weeks of screening or during the study
  • Any uncontrolled, clinically significant systemic disease (eg, chronic renal failure, uncontrolled hypertension, liver disease)

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Placebo Comparator

    Experimental

    Experimental

    Arm Label

    AMG 317 75 mg

    Placebo Arm

    AMG 317 300 mg

    AMG 317 150 mg

    Arm Description

    75 subjects

    75 subjects

    75 subjects

    75 subjects

    Outcomes

    Primary Outcome Measures

    The primary objective is to evaluate the efficacy of AMG 317 compared with placebo as measured by change in Asthma Control Questionnaire (ACQ) symptom scores from baseline to week 12.

    Secondary Outcome Measures

    Change from baseline in frequency of rescue beta agonist use during week 12
    Change from baseline PEFR during week 12 (morning/evening, diurnal and inter-day variation)
    Change in pre and post bronchodilator FEV1 at week 12 from baseline
    Number of asthma symptom-free days
    Change from baseline in daily asthma symptoms during week 12
    Safety endpoints: number of asthma exacerbations, antibodies, adverse events, and change in ECG, labs and vital signs
    Change in AQLQ score at week 12 from baseline

    Full Information

    First Posted
    February 15, 2007
    Last Updated
    February 23, 2016
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00436670
    Brief Title
    Phase II Study to Evaluate the Efficacy of AMG 317
    Official Title
    A Randomized, Double-blind, Placebo-controlled, Multiple Dose Phase 2 Study to Determine the Safety and Efficacy of AMG 317 in Subjects With Moderate to Severe Asthma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2007 (undefined)
    Primary Completion Date
    September 2008 (Actual)
    Study Completion Date
    February 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    A Multi-center, Randomized, Placebo, Multi-Dose study to evaluate the efficacy of AMG 317 compared with placebo as measured by change in Asthma Control Questionnaire (ACQ) symptom scores from baseline to week 12.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Asthma
    Keywords
    Asthma, Allergy, IL-13, IL-4, IL-4R

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    294 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    AMG 317 75 mg
    Arm Type
    Experimental
    Arm Description
    75 subjects
    Arm Title
    Placebo Arm
    Arm Type
    Placebo Comparator
    Arm Description
    75 subjects
    Arm Title
    AMG 317 300 mg
    Arm Type
    Experimental
    Arm Description
    75 subjects
    Arm Title
    AMG 317 150 mg
    Arm Type
    Experimental
    Arm Description
    75 subjects
    Intervention Type
    Biological
    Intervention Name(s)
    AMG 317 75 mg
    Intervention Description
    75 mg SC weekly injection
    Intervention Type
    Biological
    Intervention Name(s)
    AMG 317 150 mg
    Other Intervention Name(s)
    AMG 317 300 mg dose
    Intervention Description
    150 mg SC once weekly injection
    Intervention Type
    Biological
    Intervention Name(s)
    AMG 317 300 mg
    Intervention Description
    300 mg weekly SC injection
    Intervention Type
    Biological
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo SC once weekly injection
    Primary Outcome Measure Information:
    Title
    The primary objective is to evaluate the efficacy of AMG 317 compared with placebo as measured by change in Asthma Control Questionnaire (ACQ) symptom scores from baseline to week 12.
    Time Frame
    12 weeks
    Secondary Outcome Measure Information:
    Title
    Change from baseline in frequency of rescue beta agonist use during week 12
    Time Frame
    12 weeks
    Title
    Change from baseline PEFR during week 12 (morning/evening, diurnal and inter-day variation)
    Time Frame
    12 weeks
    Title
    Change in pre and post bronchodilator FEV1 at week 12 from baseline
    Time Frame
    12 weeks
    Title
    Number of asthma symptom-free days
    Time Frame
    16 weeks
    Title
    Change from baseline in daily asthma symptoms during week 12
    Time Frame
    12 weeks
    Title
    Safety endpoints: number of asthma exacerbations, antibodies, adverse events, and change in ECG, labs and vital signs
    Time Frame
    16 weeks
    Title
    Change in AQLQ score at week 12 from baseline
    Time Frame
    12 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males or females 18 to 65 years of age at the time of screening Baseline percent of predicted FEV1 ≥ 50% to ≤ 80% at screening At least 12% reversibility over baseline FEV1 with beta agonist inhalation, which can be demonstrated in the office or documented by medical record within the past 12 months Inhaled corticosteroid (ICS) ≥ 200 and ≤ 1000 µg/day fluticasone or equivalent. Stable ICS dose for ≥ 30 days before screening and dose expected to remain stable during treatment with investigational agent. Must have used ICS for at least the last 3 consecutive months before screening If receiving allergen immunotherapy, a stable dose for > 3 months before screening and anticipated to remain stable for the duration of the study Positive to skin prick or RAST Ongoing asthma symptoms with ACQ score at screening and baseline ≥ 1.5 points Nonsmoker or ex-smoker with < 10 pack-years (eg, 1 pack per day for 10 years) who stopped ≥ 1 year ago Exclusion Criteria: Acute asthma exacerbation requiring emergency room (ER) treatment or hospitalization within 3 months History of endotracheal intubation for asthma-related exacerbation within 3 years of screening Respiratory illness within 4 weeks of screening History of chronic obstructive pulmonary disease (COPD) or other chronic pulmonary condition other than asthma Received long-acting beta agonist, theophylline, inhaled anticholinergics, oral beta 2 agonists, or cromolyn therapeutics within 1 week of first run-in visit. Leukotriene antagonists within 2 weeks before first run-in visit Oral or parenteral corticosteroids within 6 weeks before first run-in visit Live/attenuated vaccinations within 4 weeks of screening or during the study Any uncontrolled, clinically significant systemic disease (eg, chronic renal failure, uncontrolled hypertension, liver disease)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    21093024
    Citation
    Meltzer EO, Busse WW, Wenzel SE, Belozeroff V, Weng HH, Feng J, Chon Y, Chiou CF, Globe D, Lin SL. Use of the Asthma Control Questionnaire to predict future risk of asthma exacerbation. J Allergy Clin Immunol. 2011 Jan;127(1):167-72. doi: 10.1016/j.jaci.2010.08.042. Epub 2010 Nov 18.
    Results Reference
    derived
    PubMed Identifier
    20056900
    Citation
    Corren J, Busse W, Meltzer EO, Mansfield L, Bensch G, Fahrenholz J, Wenzel SE, Chon Y, Dunn M, Weng HH, Lin SL. A randomized, controlled, phase 2 study of AMG 317, an IL-4Ralpha antagonist, in patients with asthma. Am J Respir Crit Care Med. 2010 Apr 15;181(8):788-96. doi: 10.1164/rccm.200909-1448OC. Epub 2010 Jan 7.
    Results Reference
    derived
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

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    Phase II Study to Evaluate the Efficacy of AMG 317

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