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Single Ascending Dose Study of AMG 570 in Healthy Subjects

Primary Purpose

Systemic Lupus Erythematosus

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AMG 570
AMG 570 Matching Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Lupus, Healthy Volunteer, Safety Study, Placebo Control, Phase 1

Eligibility Criteria

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

Inclusion Criteria:

  • Healthy as determined by the investigator
  • Normal or clinically acceptable electrocardiogram (ECG)
  • Female subjects must be of documented non-reproductive potential
  • Subjects must be current for all vaccinations
  • Other inclusion criteria may apply

Exclusion Criteria:

  • Current or chronic history of liver disease
  • History of active infections
  • History of significant respiratory disorder
  • Evidence of renal disease
  • Other exclusion criteria may apply

Sites / Locations

  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

AMG 570 - 7 mg

AMG 570 - 21 mg

AMG 570 - 70 mg

AMG 570 - 140 mg

AMG 570 - 210 mg

AMG 570 - 420 mg

AMG 570 - 700 mg

Placebo

Arm Description

Participants will receive a single dose 7 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 21 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 70 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 140 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 210 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 420 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single 700 mg dose of AMG 570 administered subcutaneously.

Participants will receive a single dose of the matching AMG 570 placebo administered subcutaneously.

Outcomes

Primary Outcome Measures

Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs)
TEAEs were adverse events with an onset after the administration of study treatment. TEAEs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limited age appropriate instrumental activities of daily life (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolonged hospitalization indicated; disabling; limited self care ADL. Grade 4 Life-threatening consequences; urgent interventions indicated. Serious adverse events (SAEs) were defined as meeting at least 1 of the following criteria: Results in death (fatal) Immediately life-threatening Requires in-patient hospitalization or prolongation of existing hospitalization Results in persistent or significant disability/incapacity Is a congenital anomaly/birth defect Other medically important serious event
Number of Participants Who Experienced a Clinically Significant Change in Physical Examinations
Physical examinations were performed by the investigator, designated physician, or nurse practitioner. A complete physical examination included, at a minimum, assessment of cardiovascular, respiratory, gastrointestinal and neurological systems. A brief physical examination included assessment of the skin, lungs, cardiovascular system, and abdomen (liver and spleen).
Number of Participants Who Experienced a Clinically Significant Change in Vital Signs
Any changes in blood pressure, body temperature, heart rate, and pulse rate that were deemed as clinically significant by the Investigator were reported.
Number of Participants Who Experienced a Clinically Significant Change in Clinical Laboratory Safety Tests
Laboratory safety tests included chemistry, hematology, and urinalysis parameters. Clinically significant laboratory safety tests were any events assessed as CTCAE Grade ≥3 at any post-baseline visit. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolonged hospitalization indicated; disabling; limited self care ADL. Grade 4 Life-threatening consequences; urgent interventions indicated.
Number of Participants Who Experienced a Clinically Significant Change in Electrocardiograms (ECGs)
Any changes in ECG parameters that were deemed clinically significant by the Investigator were reported.

Secondary Outcome Measures

Maximum Observed Concentration (Cmax) of AMG 570
AMG 570 pharmacokinetic (PK) parameters were estimated using non-compartmental analysis.
Time to Reach Maximum Observed Concentration (Tmax) of AMG 570
AMG 570 PK parameters were estimated using non-compartmental analysis.
Area Under the Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) of AMG 570
AMG 570 PK parameters were estimated using non-compartmental analysis.
Area Under the Concentration-time Curve Observed From Time Zero to Infinity (AUCinf) of AMG 570
Number of Participants With an Anti-AMG 570 Binding Antibody Positive Postbaseline Result
The presence of anti-AMG 570 binding antibodies was assessed using a validated assay. The number and percentage of participants who developed binding anti-AMG 570 antibodies at any postbaseline visit are presented.
Mean Peripheral Blood B7-Related Protein-1 (B7RP-1) Receptor Occupancy on Total B Cells
Peripheral B7RP1 (also known as inducible costimulator ligand [ICOSL]) receptor occupancy was calculated from the free ICOSL and total ICOSL measurement from B cells in whole blood.
Percentage Change From Baseline for Cluster of Differentiation (CD)19+ Total B Cells Counts
Percentage Change From Baseline for CD19+ Total B Cells Percentages (%)

Full Information

First Posted
October 13, 2015
Last Updated
September 20, 2021
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT02618967
Brief Title
Single Ascending Dose Study of AMG 570 in Healthy Subjects
Official Title
A Randomized, Double Blind Placebo Controlled, First in Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Ascending Subcutaneous Doses of AMG 570 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
March 28, 2016 (Actual)
Primary Completion Date
September 6, 2018 (Actual)
Study Completion Date
December 3, 2018 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to obtain initial information on the safety and tolerability (effects good or bad), pharmacokinetics (what the body does to the drug), and pharmacodynamics (what the drug does to the body) of a single dose of AMG 570.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
Lupus, Healthy Volunteer, Safety Study, Placebo Control, Phase 1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
56 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AMG 570 - 7 mg
Arm Type
Experimental
Arm Description
Participants will receive a single dose 7 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 21 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 21 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 70 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 70 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 140 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 140 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 210 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 210 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 420 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 420 mg dose of AMG 570 administered subcutaneously.
Arm Title
AMG 570 - 700 mg
Arm Type
Experimental
Arm Description
Participants will receive a single 700 mg dose of AMG 570 administered subcutaneously.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive a single dose of the matching AMG 570 placebo administered subcutaneously.
Intervention Type
Biological
Intervention Name(s)
AMG 570
Other Intervention Name(s)
Active Comparator, Investigational Product, and Study drug
Intervention Description
7 dose levels of AMG 570 administered as single dose subcutaneous in healthy volunteers.
Intervention Type
Biological
Intervention Name(s)
AMG 570 Matching Placebo
Other Intervention Name(s)
Placebo, Investigational Product, and Study drug
Intervention Description
Placebo administered as single dose subcutaneous in healthy volunteers.
Primary Outcome Measure Information:
Title
Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs)
Description
TEAEs were adverse events with an onset after the administration of study treatment. TEAEs were graded using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limited age appropriate instrumental activities of daily life (ADL). Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolonged hospitalization indicated; disabling; limited self care ADL. Grade 4 Life-threatening consequences; urgent interventions indicated. Serious adverse events (SAEs) were defined as meeting at least 1 of the following criteria: Results in death (fatal) Immediately life-threatening Requires in-patient hospitalization or prolongation of existing hospitalization Results in persistent or significant disability/incapacity Is a congenital anomaly/birth defect Other medically important serious event
Time Frame
Day 1 to Day 105
Title
Number of Participants Who Experienced a Clinically Significant Change in Physical Examinations
Description
Physical examinations were performed by the investigator, designated physician, or nurse practitioner. A complete physical examination included, at a minimum, assessment of cardiovascular, respiratory, gastrointestinal and neurological systems. A brief physical examination included assessment of the skin, lungs, cardiovascular system, and abdomen (liver and spleen).
Time Frame
Baseline to Day 105
Title
Number of Participants Who Experienced a Clinically Significant Change in Vital Signs
Description
Any changes in blood pressure, body temperature, heart rate, and pulse rate that were deemed as clinically significant by the Investigator were reported.
Time Frame
Baseline to Day 105
Title
Number of Participants Who Experienced a Clinically Significant Change in Clinical Laboratory Safety Tests
Description
Laboratory safety tests included chemistry, hematology, and urinalysis parameters. Clinically significant laboratory safety tests were any events assessed as CTCAE Grade ≥3 at any post-baseline visit. Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolonged hospitalization indicated; disabling; limited self care ADL. Grade 4 Life-threatening consequences; urgent interventions indicated.
Time Frame
Baseline to Day 105
Title
Number of Participants Who Experienced a Clinically Significant Change in Electrocardiograms (ECGs)
Description
Any changes in ECG parameters that were deemed clinically significant by the Investigator were reported.
Time Frame
Baseline to Day 105
Secondary Outcome Measure Information:
Title
Maximum Observed Concentration (Cmax) of AMG 570
Description
AMG 570 pharmacokinetic (PK) parameters were estimated using non-compartmental analysis.
Time Frame
Pre-dose and 12 hours post-dose on Day 1 and days 2, 3, 4, 6, 8, 11, 15, 22, 29, 43, 57, 71 and 105
Title
Time to Reach Maximum Observed Concentration (Tmax) of AMG 570
Description
AMG 570 PK parameters were estimated using non-compartmental analysis.
Time Frame
Pre-dose and 12 hours post-dose on Day 1 and days 2, 3, 4, 6, 8, 11, 15, 22, 29, 43, 57, 71 and 105
Title
Area Under the Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) of AMG 570
Description
AMG 570 PK parameters were estimated using non-compartmental analysis.
Time Frame
Pre-dose and 12 hours post-dose on Day 1 and days 2, 3, 4, 6, 8, 11, 15, 22, 29, 43, 57, 71 and 105
Title
Area Under the Concentration-time Curve Observed From Time Zero to Infinity (AUCinf) of AMG 570
Time Frame
Pre-dose and 12 hours post-dose on Day 1 and days 2, 3, 4, 6, 8, 11, 15, 22, 29, 43, 57, 71 and 105
Title
Number of Participants With an Anti-AMG 570 Binding Antibody Positive Postbaseline Result
Description
The presence of anti-AMG 570 binding antibodies was assessed using a validated assay. The number and percentage of participants who developed binding anti-AMG 570 antibodies at any postbaseline visit are presented.
Time Frame
Baseline to Day 105
Title
Mean Peripheral Blood B7-Related Protein-1 (B7RP-1) Receptor Occupancy on Total B Cells
Description
Peripheral B7RP1 (also known as inducible costimulator ligand [ICOSL]) receptor occupancy was calculated from the free ICOSL and total ICOSL measurement from B cells in whole blood.
Time Frame
Day 8; Day 29; Day 57; and Day 105
Title
Percentage Change From Baseline for Cluster of Differentiation (CD)19+ Total B Cells Counts
Time Frame
Baseline to Day 8; Day 29; Day 57 and Day 105
Title
Percentage Change From Baseline for CD19+ Total B Cells Percentages (%)
Time Frame
Baseline to Day 8; Day 29; Day 57 and Day 105

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy as determined by the investigator Normal or clinically acceptable electrocardiogram (ECG) Female subjects must be of documented non-reproductive potential Subjects must be current for all vaccinations Other inclusion criteria may apply Exclusion Criteria: Current or chronic history of liver disease History of active infections History of significant respiratory disorder Evidence of renal disease Other exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47710
Country
United States
Facility Name
Research Site
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States
Facility Name
Research Site
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53704
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
https://www.amgen.com/datasharing
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

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Single Ascending Dose Study of AMG 570 in Healthy Subjects

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