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A First-in-human Study Evaluating AMG 167 in Healthy Men and Postmenopausal Women

Primary Purpose

Osteopenia

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
AMG 167
Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteopenia focused on measuring Amgen, Phase 1, First in Human, Postmenopausal

Eligibility Criteria

45 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy males and females between 45 to 65 years of age
  • Postmenopausal females defined as 12 continuous months of spontaneous amenorrhea confirmed by a serum follicle-stimulating hormone (FSH) result > 40mIU/mL, or at least 6 weeks postsurgical bilateral oophorectomy (with or without hysterectomy)
  • Men must agree to use highly effective methods of contraception; males must agree to not donate sperm for the entire study and 7 months after the end of treatment
  • Weight ≤ 98 kg (216 lb) and/or height ≤ 196 cm (77 in)
  • Has no history or evidence of a clinically significant disorder, condition or disease that would pose a risk to subject safety or interfere with the study evaluation, procedures or completion
  • Negative urine screen for potential drugs of abuse at screening and admission, unless medication is prescribed by a physician

Exclusion Criteria:

  • Healthy males with partners who are pregnant at the time of screening; or healthy males with partners who plan to become pregnant during the study
  • Osteoporosis, as defined by BMD t-scores of the lumbar spine (L1-L4) or total evaluable vertebrae; or femoral neck ≤ 2.5
  • Diagnosed with any condition that will affect bone metabolism
  • Diagnosis of clotting factor deficiency or history of bleeding or coagulation disorder (including history of heparin or warfarin administration)
  • Subjects with fewer than 2 evaluable vertebrae; metal in hips bilaterally that would not allow for at least one evaluable hip; metal in forearms bilaterally that would not allow for at least one evaluable forearm
  • Abnormal international normalized ratio or partial thromboplastin time
  • Administration of the following medications within 6 months before study drug administration:
  • Hormone replacement therapy [Infrequent use of estrogen vaginal creams (< 3 times per week) is allowed.]
  • Calcitonin
  • Parathyroid hormone (or any derivative)
  • Supplemental Vitamin D > 1,000 IU/day
  • Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed)
  • Anabolic steroids
  • Calcitriol, and available analogues
  • Administration of the following medications within 12 months before study drug administration:
  • Bisphosphonates
  • Fluoride for osteoporosis
  • Administration of herbal medications within 2 weeks or 5 half-lives (whichever is longer) before study drug administration
  • Greatly differing levels of physical activity or constant levels of intense physical exercise during the 6 months before study drug administration
  • Known alcohol abuse or use of illicit drugs within 12 months of admission
  • Unwilling or unable to limit alcohol consumption throughout the course of the study
  • Known sensitivity to mammalian-derived drug preparations
  • Known to be hepatitis B surface antigen, hepatitis C virus, or human immunodeficiency virus positive, or a known diagnosis of acquired immunodeficiency syndrome
  • An unstable medical condition, defined as having been hospitalized within 28 days before day -1, major surgery within 6 months before day -1, or otherwise unstable in the judgment of the investigator
  • Has any clinically significant abnormality during the screening physical examination, ECG, or laboratory evaluation
  • Unavailable for follow-up assessment or any concerns for subject's compliance with the protocol procedures
  • Any other condition that might reduce the chance of obtaining data required by the protocol or that might compromise the ability to give truly informed consent
  • Has participated in another clinical study within 4 weeks of screening or within 5 times the half-life of the investigational agent in the other clinical study, if known
  • Has donated or lost 400 mL or more of blood or plasma within 8 weeks of study drug administration
  • Previous exposure to AMG 785

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Placebo Comparator

    Arm Label

    B

    A

    Arm Description

    Six female subjects in each of cohorts 1 to 5 will receive AMG 167; six male subjects in each of cohorts 6 and 8; three female subjects in each of cohorts 7 and 9.

    Two female subjects in each of cohorts 1 to 5 will receive placebo; two male subjects in each of cohorts 6 and 8; and 1 female subject in each of cohorts 7 and 9.

    Outcomes

    Primary Outcome Measures

    The number (percent) of subjects reporting treatment-emergent adverse events.
    The number of subjects experiencing clinically significant changes in safety laboratory tests, physical examinations, vital signs, or electrocardiograms (ECGs).
    The number of subjects who develop anti-AMG 167 antibodies.

    Secondary Outcome Measures

    Pharmacokinetic and phamacodynamic parameters [serum procollagen type 1 N-terminal propeptide (P1NP), BSAP, osteocalcin, sCTX, sclerostin levels, and bone mineral density (BMD) for higher dose levels] after single dose SC or IV administration of AMG 167.

    Full Information

    First Posted
    May 14, 2009
    Last Updated
    April 1, 2010
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00902356
    Brief Title
    A First-in-human Study Evaluating AMG 167 in Healthy Men and Postmenopausal Women
    Official Title
    A Randomized, Double-blind, Placebo-controlled, Ascending Single-dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AMG 167 in Healthy Men and Postmenopausal Women
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2010
    Overall Recruitment Status
    Completed
    Study Start Date
    May 2009 (undefined)
    Primary Completion Date
    November 2009 (Actual)
    Study Completion Date
    November 2009 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    The primary objective of this study is to determine the safety and tolerability of AMG 167 following a single dose subcutaneous (SC) or intravenous (IV) administration in healthy men and postmenopausal women.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Osteopenia
    Keywords
    Amgen, Phase 1, First in Human, Postmenopausal

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    69 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    B
    Arm Type
    Active Comparator
    Arm Description
    Six female subjects in each of cohorts 1 to 5 will receive AMG 167; six male subjects in each of cohorts 6 and 8; three female subjects in each of cohorts 7 and 9.
    Arm Title
    A
    Arm Type
    Placebo Comparator
    Arm Description
    Two female subjects in each of cohorts 1 to 5 will receive placebo; two male subjects in each of cohorts 6 and 8; and 1 female subject in each of cohorts 7 and 9.
    Intervention Type
    Drug
    Intervention Name(s)
    AMG 167
    Intervention Description
    Subjects will be randomized to receive 1 of 5 doses of AMG 167 or equivalent volume of placebo administered as a single dose. Postmenopausal women will receive AMG 167 in fixed doses of 21 mg, 70, 210, 350, or 700 mg SC (under the skin), or 70 mg or 350 mg IV (in the vein), while men will receive doses of 70 mg or 350 mg SC or IV.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Subjects will be randomized to receive 1 of 5 doses of AMG 167 or equivalent volume of placebo administered as a single dose. Postmenopausal women will receive AMG 167 in fixed doses of 21 mg, 70, 210, 350, or 700 mg SC (under the skin), or 70 mg or 350 mg IV (in the vein), while men will receive doses of 70 mg or 350 mg SC or IV.
    Primary Outcome Measure Information:
    Title
    The number (percent) of subjects reporting treatment-emergent adverse events.
    Time Frame
    Cohort 1 - 29 days; cohorts 2, 3, 6, and 7 - 57 days; cohorts 4, 5, 8, and 9 - 85 days
    Title
    The number of subjects experiencing clinically significant changes in safety laboratory tests, physical examinations, vital signs, or electrocardiograms (ECGs).
    Time Frame
    Cohort 1 - 29 days; cohorts 2, 3, 6, and 7 - 57 days; cohorts 4, 5, 8, and 9 - 85 days
    Title
    The number of subjects who develop anti-AMG 167 antibodies.
    Time Frame
    Cohort 1 - 29 days; cohorts 2, 3, 6, and 7 - 57 days; cohorts 4, 5, 8, and 9 - 85 days
    Secondary Outcome Measure Information:
    Title
    Pharmacokinetic and phamacodynamic parameters [serum procollagen type 1 N-terminal propeptide (P1NP), BSAP, osteocalcin, sCTX, sclerostin levels, and bone mineral density (BMD) for higher dose levels] after single dose SC or IV administration of AMG 167.
    Time Frame
    Cohort 1 - 29 days; cohorts 2, 3, 6, and 7 - 57 days; cohorts 4, 5, 8, and 9 - 85 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    45 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy males and females between 45 to 65 years of age Postmenopausal females defined as 12 continuous months of spontaneous amenorrhea confirmed by a serum follicle-stimulating hormone (FSH) result > 40mIU/mL, or at least 6 weeks postsurgical bilateral oophorectomy (with or without hysterectomy) Men must agree to use highly effective methods of contraception; males must agree to not donate sperm for the entire study and 7 months after the end of treatment Weight ≤ 98 kg (216 lb) and/or height ≤ 196 cm (77 in) Has no history or evidence of a clinically significant disorder, condition or disease that would pose a risk to subject safety or interfere with the study evaluation, procedures or completion Negative urine screen for potential drugs of abuse at screening and admission, unless medication is prescribed by a physician Exclusion Criteria: Healthy males with partners who are pregnant at the time of screening; or healthy males with partners who plan to become pregnant during the study Osteoporosis, as defined by BMD t-scores of the lumbar spine (L1-L4) or total evaluable vertebrae; or femoral neck ≤ 2.5 Diagnosed with any condition that will affect bone metabolism Diagnosis of clotting factor deficiency or history of bleeding or coagulation disorder (including history of heparin or warfarin administration) Subjects with fewer than 2 evaluable vertebrae; metal in hips bilaterally that would not allow for at least one evaluable hip; metal in forearms bilaterally that would not allow for at least one evaluable forearm Abnormal international normalized ratio or partial thromboplastin time Administration of the following medications within 6 months before study drug administration: Hormone replacement therapy [Infrequent use of estrogen vaginal creams (< 3 times per week) is allowed.] Calcitonin Parathyroid hormone (or any derivative) Supplemental Vitamin D > 1,000 IU/day Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed) Anabolic steroids Calcitriol, and available analogues Administration of the following medications within 12 months before study drug administration: Bisphosphonates Fluoride for osteoporosis Administration of herbal medications within 2 weeks or 5 half-lives (whichever is longer) before study drug administration Greatly differing levels of physical activity or constant levels of intense physical exercise during the 6 months before study drug administration Known alcohol abuse or use of illicit drugs within 12 months of admission Unwilling or unable to limit alcohol consumption throughout the course of the study Known sensitivity to mammalian-derived drug preparations Known to be hepatitis B surface antigen, hepatitis C virus, or human immunodeficiency virus positive, or a known diagnosis of acquired immunodeficiency syndrome An unstable medical condition, defined as having been hospitalized within 28 days before day -1, major surgery within 6 months before day -1, or otherwise unstable in the judgment of the investigator Has any clinically significant abnormality during the screening physical examination, ECG, or laboratory evaluation Unavailable for follow-up assessment or any concerns for subject's compliance with the protocol procedures Any other condition that might reduce the chance of obtaining data required by the protocol or that might compromise the ability to give truly informed consent Has participated in another clinical study within 4 weeks of screening or within 5 times the half-life of the investigational agent in the other clinical study, if known Has donated or lost 400 mL or more of blood or plasma within 8 weeks of study drug administration Previous exposure to AMG 785
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

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    A First-in-human Study Evaluating AMG 167 in Healthy Men and Postmenopausal Women

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