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