Study Complete
Sponsor ID
20150161

AMG 176 first in human trial in participants with relapsed or refractory multiple myeloma and participants with relapsed or refractory acute myeloid leukemia

Sponsor ID
20150161
Clinicaltrials.gov ID
NCT02675452
EUCTIS ID
N/A
EudraCT ID
2015-004777-32

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

Additional Study Details

Phase
Phase 1
Product
AMG 176
Type
Interventional
Masking
None (Open Label)
Enrollment
142
Additional Study Details

Protocol Summary

Primary Outcome Measures

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

Secondary Outcome Measures

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

Locations

Location
Status
Contact Us
Location
Massachusetts General Hospital Cancer Center
Boston, MA, United States, 02114
Status
Recruiting
Location
University of Utah Huntsman Cancer Institute
Salt Lake City, UT, United States, 84112
Status
Recruiting
Location
University Health Network-Princess Margaret Cancer Centre
Toronto, ON, Canada, M5G 2M9
Status
Recruiting
Location
Universitaetsklinikum der Rheinisch-Westfaelischen Technischen Hochschule Aachen
Aachen, Germany, 52074
Status
Completed
Location
City of Hope National Medical Center
Duarte, CA, United States, 91010
Status
Recruiting
Location
John Theurer Cancer Center at Hackensack University Medical Center
Hackensack, NJ, United States, 07601
Status
Recruiting
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