AMG 176 first in human trial in participants with relapsed or refractory multiple myeloma and participants with relapsed or refractory acute myeloid leukemia
Study Details
At least one dose level of AMG 176 will achieve acceptable safety and tolerability in participants with relapsed or refractory multiple myeloma and participants with relapsed or refractory acute myeloid leukemia
Protocol Summary
Multiple Myeloma (MM) Part 1a Incidence of dose-limiting toxicities (DLTs)
Timeframe: Up to 6 months
MM Part 1a Incidence of treatment-related adverse events
Timeframe: Up to 18 months
MM Part 1a Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
MM Part 1a Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
MM Part 1a Incidence of clinically significant changes in electrocardiograms (ECGs)
Timeframe: Up to 6 months
MM Part 1a Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
MM Part 1a Pharmacokinetic (PK) parameters for AMG 176: maximum observed concentration (Cmax)
Timeframe: 1 month on treatment
MM Part 1a Pharmacokinetic parameters for AMG 176: area under the concentration-time curve (AUC)
Timeframe: 1 month on treatment
MM Part 1a Pharmacokinetic parameters for AMG 176: clearance (CL)
Timeframe: 1 month on treatment
MM Part 1a Pharmacokinetic parameters for AMG 176: half-life (t1/2)
Timeframe: 1 month on treatment
MM Part 1b Incidence of DLTs
Timeframe: Up to 6 months
MM Part 1b Incidence of treatment-related adverse events
Timeframe: Up to 18 months
MM Part 1b Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
MM Part 1b Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
MM Part 1b Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
MM Part 1b Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
MM Part 1b Pharmacokinetic parameters for AMG 176: Cmax
Timeframe: 1 month on treatment
MM Part 1b Pharmacokinetic parameters for AMG 176: AUC
Timeframe: 1 month on treatment
MM Part 1b Pharmacokinetic parameters for AMG 176: CL
Timeframe: 1 month on treatment
MM Part 1b Pharmacokinetic parameters for AMG 176: t1/2
Timeframe: 1 month on treatment
Acute Myeloid Leukemia (AML) Part 3a Incidence of DLTs
Timeframe: Up to 6 months
AML Part 3a Incidence of treatment-related adverse events
Timeframe: Up to 18 months
AML Part 3a Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
AML Part 3a Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
AML Part 3a Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
AML Part 3a Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
AML Part 3a Pharmacokinetic parameters for AMG 176: Cmax
Timeframe: 1 month on treatment
AML Part 3a Pharmacokinetic parameters for AMG 176: AUC
Timeframe: 1 month on treatment
AML Part 3a Pharmacokinetic parameters for AMG 176: CL
Timeframe: 1 month on treatment
AML Part 3a Pharmacokinetic parameters for AMG 176: t1/2
Timeframe: 1 month on treatment
AML Part 3b Incidence of DLTs
Timeframe: Up to 6 months
AML Part 3b Incidence of treatment-related adverse events
Timeframe: Up to 18 months
AML Part 3b Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
AML Part 3b Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
AML Part 3b Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
AML Part 3b Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
AML Part 3b Pharmacokinetic parameters for AMG 176: Cmax
Timeframe: 1 month on treatment
AML Part 3b Pharmacokinetic parameters for AMG 176: AUC
Timeframe: 1 month on treatment
AML Part 3b Pharmacokinetic parameters for AMG 176: CL
Timeframe: 1 month on treatment
AML Part 3b Pharmacokinetic parameters for AMG 176: t1/2
Timeframe: 1 month on treatment
AML Part 3c Incidence of DLTs
Timeframe: Up to 6 months
AML Part 3c Incidence of treatment-related adverse events
Timeframe: Up to 18 months
AML Part 3c Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
AML Part 3c Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
AML Part 3c Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
AML Part 3c Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
AML Part 3c Pharmacokinetic parameters for AMG 176: Cmax
Timeframe: 1 month on treatment
AML Part 3c Pharmacokinetic parameters for AMG 176: AUC
Timeframe: 1 month on treatment
AML Part 3c Pharmacokinetic parameters for AMG 176: CL
Timeframe: 1 month on treatment
AML Part 3c Pharmacokinetic parameters for AMG 176: t1/2
Timeframe: 1 month on treatment
AML Part 3d Pharmacokinetic parameters for AMG 176 and itraconazole: Cmax
Timeframe: 3 weeks on treatment
AML Part 3d Pharmacokinetic parameters for AMG 176 and itraconazole: AUC
Timeframe: 3 weeks on treatment
AML Part 3d Pharmacokinetic parameters for AMG 176 and itraconazole: CL
Timeframe: 3 weeks on treatment
AML Part 3d Pharmacokinetic parameters for AMG 176 and itraconazole: t1/2
Timeframe: 3 weeks on treatment
AML Part 4 Incidence of DLTs
Timeframe: Up to 6 months
AML Part 4 Incidence of treatment-related adverse events
Timeframe: Up to 18 months
AML Part 4 Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
AML Part 4 Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
AML Part 4 Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
AML Part 4 Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
AML Part 4 Pharmacokinetic parameters for AMG 176 and azacitidine: Cmax
Timeframe: 1 month on treatment
AML Part 4 Pharmacokinetic parameters for AMG 176 and azacitidine: AUC
Timeframe: 1 month on treatment
AML Part 4 Pharmacokinetic parameters for AMG 176 and azacitidine: CL
Timeframe: 1 month on treatment
AML Part 4 Pharmacokinetic parameters for AMG 176 and azacitidine: t1/2
Timeframe: 1 month on treatment
AML Part 5 Incidence of treatment-related adverse events
Timeframe: Up to 18 months
AML Part 5 Incidence of treatment-emergent adverse events
Timeframe: Up to 18 months
AML Part 5 Incidence of clinically significant changes in vital signs
Timeframe: Up to 6 months
AML Part 5 Incidence of clinically significant changes in ECGs
Timeframe: Up to 6 months
AML Part 5 Incidence of clinically significant changes in clinical laboratory tests
Timeframe: Up to 6 months
AML Part 5 Pharmacokinetic parameters for AMG 176 and azacitidine: Cmax
Timeframe: 1 month on treatment
AML Part 5 Pharmacokinetic parameters for AMG 176 and azacitidine: AUC
Timeframe: 1 month on treatment
AML Part 5 Pharmacokinetic parameters for AMG 176 and azacitidine: CL
Timeframe: 1 month on treatment
AML Part 5 Pharmacokinetic parameters for AMG 176 and azacitidine: t1/2
Timeframe: 1 month on treatment
MM Part 1a Overall response (OR) according to International Myeloma Working Group uniform response criteria (IMWG-URC) for MM subjects
Timeframe: 6 months on treatment
MM Part 1a Progression-free survival (PFS)
Timeframe: 6 months on treatment
MM Part 1a Time to response
Timeframe: 6 months on treatment
MM Part 1a Duration of response (DOR)
Timeframe: 6 months on treatment
MM Part 1a BAX and caspase 3 expression in circulating monocytes and /or circulating monocyte counts
Timeframe: 6 months on treatment
MM Part 1b BAX and caspase 3 expression in circulating monocytes and/or circulating monocyte counts
Timeframe: 6 months on treatment
MM Part 1b Overall response (OR) according to IMWG-URC for MM subjects
Timeframe: 6 months on treatment
MM Part 1b Progression free survival (PFS)
Timeframe: 6 months on treatment
MM Part 1b Time to response
Timeframe: 6 months on treatment
MM Part 1b Duration of response (DOR)
Timeframe: 6 months on treatment
AML Part 3a, 3b and 3c Overall response (OR) according to the 2017 European Leukemia Net (ELN) criteria (Döhner et al, 2017)
Timeframe: 6 months on treatment
AML Part 3a, 3b and 3c Event free survival (EFS)
Timeframe: 6 months on treatment
AML Part 3a, 3b and 3c Time to response
Timeframe: 6 months on treatment
AML Part 3a, 3b and 3c Duration of response (DOR)
Timeframe: 6 months on treatment
AML Part 3d Incidence of treatment-emergent adverse events
Timeframe: 3 weeks on treatment
AML Part 3d Incidence of clinically significant changes in vital signs
Timeframe: 3 weeks on treatment
AML Part 3d Incidence of clinically significant changes in ECGs
Timeframe: 3 weeks on treatment
AML Part 3d Incidence of clinically significant changes in clinical laboratory tests
Timeframe: 3 weeks on treatment
AML Part 4 Overall response (OR) according to the 2017 ELN criteria in AML subjects
Timeframe: 6 months on treatment
AML Part 4 Event free survival (EFS)
Timeframe: 6 months on treatment
AML Part 4 Time to response
Timeframe: 6 months on treatment
AML Part 4 Duration of response (DOR)
Timeframe: 6 months on treatment
AML Part 5 OR according to the 2017 ELN criteria in AML subjects
Timeframe: 6 months on treatment
AML Part 5 EFS
Timeframe: 6 months on treatment
AML Part 5 Time to response
Timeframe: 6 months on treatment
AML Part 5 DOR
Timeframe: 6 months on treatment