Systemic Lupus ErythematosusPhase 1NCT02618967
Single Ascending Dose Study of AMG 570 in Healthy Subjects
A Phase 1 study testing AMG 570 in people with Systemic Lupus Erythematosus, run by Amgen at 3 sites in United States.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Systemic Lupus Erythematosus
- What is being tested?
- AMG 570
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 56 participants
- Where
- 3 sitesUnited States
- Study dates
- 28 Mar 2016to 3 Dec 2018
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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
Trial locations and contacts
3 sites in 1 country.
United States3 sites
Research Site
Evansville, Indiana, 47710
Research Site
Madison, Wisconsin, 53704
Research Site
Overland Park, Kansas, 66212
About this study
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
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.
- Conditions
- Systemic Lupus Erythematosus
- Being tested
- AMG 570, AMG 570 Matching Placebo
- Keywords
- Lupus, Healthy Volunteer, Safety Study, Placebo Control, Phase 1
- Medical subject headings
- Lupus Erythematosus, Systemic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AMG 570Biological
Also called Active Comparator, Investigational Product, and Study drug
7 dose levels of AMG 570 administered as single dose subcutaneous in healthy volunteers.
AMG 570 Matching PlaceboBiological
Also called Placebo, Investigational Product, and Study drug
Placebo administered as single dose subcutaneous in healthy volunteers.
| Study group | Role | What they receive |
|---|---|---|
| AMG 570 - 7 mg | Experimental | Participants will receive a single dose 7 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 21 mg | Experimental | Participants will receive a single 21 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 70 mg | Experimental | Participants will receive a single 70 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 140 mg | Experimental | Participants will receive a single 140 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 210 mg | Experimental | Participants will receive a single 210 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 420 mg | Experimental | Participants will receive a single 420 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| AMG 570 - 700 mg | Experimental | Participants will receive a single 700 mg dose of AMG 570 administered subcutaneously. Receives: Biological: AMG 570 |
| Placebo | Placebo comparator | Participants will receive a single dose of the matching AMG 570 placebo administered subcutaneously. Receives: Biological: AMG 570 Matching Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
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
Measured: Day 1 to Day 105
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).
Measured: Baseline to Day 105
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.
Measured: Baseline to Day 105
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.
Measured: Baseline to Day 105
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.
Measured: Baseline to Day 105
Secondary outcomes (8)
Maximum Observed Concentration (Cmax) of AMG 570
AMG 570 pharmacokinetic (PK) parameters were estimated using non-compartmental analysis.
Measured: 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
Time to Reach Maximum Observed Concentration (Tmax) of AMG 570
AMG 570 PK parameters were estimated using non-compartmental analysis.
Measured: 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
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.
Measured: 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
Area Under the Concentration-time Curve Observed From Time Zero to Infinity (AUCinf) of AMG 570
Measured: 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
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.
Measured: Baseline to Day 105
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.
Measured: Day 8; Day 29; Day 57; and Day 105
Percentage Change From Baseline for Cluster of Differentiation (CD)19+ Total B Cells Counts
Measured: Baseline to Day 8; Day 29; Day 57 and Day 105
Percentage Change From Baseline for CD19+ Total B Cells Percentages (%)
Measured: Baseline to Day 8; Day 29; Day 57 and Day 105
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2015 (estimated)
- Study start28 Mar 2016
- Primary completion6 Sep 2018
- Study completion3 Dec 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- More trials run by AmgenThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 56 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02618967
- Sponsor's protocol ID
- 20140322
- Status last verified
- May 2024
- First submitted
- 13 Oct 2015
- Last updated
- 14 May 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Publications
Abuqayyas L, Chen PW, Dos Santos MT, Parnes JR, Doshi S, Dutta S, Houk BE. Pharmacokinetics and Pharmacokinetic/Pharmacodynamic Properties of Rozibafusp Alfa, a Bispecific Inhibitor of BAFF and ICOSL: Analyses of Phase I Clinical Trials. Clin Pharmacol Ther. 2023 Aug;114(2):371-380. doi: 10.1002/cpt.2929. Epub 2023 May 24.
PubMed 37150935
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT02618967
- Acronym / sponsor ID
- 20140322
- Conditions
- Systemic Lupus Erythematosus
- Keywords
- Lupus, Healthy Volunteer, Safety Study, Placebo Control, Phase 1
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 28 Mar 2016 (actual)
- Primary completion
- 6 Sep 2018 (actual)
- Study completion
- 3 Dec 2018 (actual)
- First posted
- 2 Dec 2015 (estimated)
- Results
- Posted 15 Oct 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Single group
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| AMG 570 - 7 mg | Experimental | Biological: AMG 570Participants will receive a single dose 7 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 21 mg | Experimental | Biological: AMG 570Participants will receive a single 21 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 70 mg | Experimental | Biological: AMG 570Participants will receive a single 70 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 140 mg | Experimental | Biological: AMG 570Participants will receive a single 140 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 210 mg | Experimental | Biological: AMG 570Participants will receive a single 210 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 420 mg | Experimental | Biological: AMG 570Participants will receive a single 420 mg dose of AMG 570 administered subcutaneously. |
| AMG 570 - 700 mg | Experimental | Biological: AMG 570Participants will receive a single 700 mg dose of AMG 570 administered subcutaneously. |
| Placebo | Placebo comparator | Biological: AMG 570 Matching PlaceboParticipants will receive a single dose of the matching AMG 570 placebo administered subcutaneously. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AMG 570Also: Active Comparator, Investigational Product, and Study drug7 dose levels of AMG 570 administered as single dose subcutaneous in healthy volunteers. | Biological | AMG 570 - 140 mg, AMG 570 - 21 mg, AMG 570 - 210 mg, AMG 570 - 420 mg, AMG 570 - 7 mg, AMG 570 - 70 mg, AMG 570 - 700 mg |
| AMG 570 Matching PlaceboAlso: Placebo, Investigational Product, and Study drugPlacebo administered as single dose subcutaneous in healthy volunteers. | Biological | Placebo |
Primary outcome
Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs)
Time frame: Day 1 to Day 105
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
Time frame: Baseline to Day 105
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
Time frame: Baseline to Day 105
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
Time frame: Baseline to Day 105
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)
Time frame: Baseline to Day 105
Any changes in ECG parameters that were deemed clinically significant by the Investigator were reported.
8 secondary outcomes
Maximum Observed Concentration (Cmax) 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
Time to Reach Maximum Observed Concentration (Tmax) 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
Area Under the Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) 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
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
Number of Participants With an Anti-AMG 570 Binding Antibody Positive Postbaseline Result
Time frame: Baseline to Day 105
Mean Peripheral Blood B7-Related Protein-1 (B7RP-1) Receptor Occupancy on Total B Cells
Time frame: Day 8; Day 29; Day 57; and Day 105
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
Percentage Change From Baseline for CD19+ Total B Cells Percentages (%)
Time frame: Baseline to Day 8; Day 29; Day 57 and Day 105
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 37150935Abuqayyas L, Chen PW, Dos Santos MT, Parnes JR, Doshi S, Dutta S, Houk BE. Pharmacokinetics and Pharmacokinetic/Pharmacodynamic Properties of Rozibafusp Alfa, a Bispecific Inhibitor of BAFF and ICOSL: Analyses of Phase I Clinical Trials. Clin Pharmacol Ther. 2023 Aug;114(2):371-380. doi: 10.1002/cpt.2929. Epub 2023 May 24.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Related trials for Systemic Lupus Erythematosus
Not yet recruitingPhase 1
An Ascending Dose Study of DKB903 in Participants With Rheumatoid Arthritis (RA) and Participants With Systemic Lupus Erythematosus (SLE)
Rheumatoid Arthritis and Systemic Lupus Erythematosus
RecruitingPhase 4
Dapagliflozin in Active Lupus Nephritis
Lupus Nephritis (LN)
RecruitingObservational study
Electroencephalogram Recording in Patients With Systemic Lupus Erythematosus
Systemic Lupus Erythematosus
RecruitingObservational study
Deciphering the Genetic Architecture of Autoimmune Diseases
Autoimmune Diseases
RecruitingPhase 1
A Trial in Healthy Adult Participants and Adults With Autoimmune Diseases to Test How HBM7020 is Tolerated and How it Behaves in the Body
Rheumatoid Arthritis, Systemic Lupus Erythematosus
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
MD study director
Amgen
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing AMG 570 in people with Systemic Lupus Erythematosus, run by Amgen at 3 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants Who Experienced One or More Treatment-emergent Adverse Events (TEAEs) (time frame: Day 1 to Day 105). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02618967, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 May 2024.