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Clinical Trials/NCT03296696
NCT03296696TerminatedPhase 1

Phase 1/1b Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AMG 596 as Monotherapy and in Combination With AMG 404 in Subjects With Glioblastoma or Malignant Glioma Expressing Mutant Epidermal Growth Factor Receptor Variant III (EGFRvIII)

Amgen10 sites in 6 countries30 target enrollmentStarted: April 18, 2018Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Sponsor
Amgen
Enrollment
30
Locations
10
Primary Endpoint
Number of Participants With Dose-Limiting Toxicities (DLTs)

Study Overview

Brief Summary

This is a Phase 1/1b Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AMG 596 monotherapy or in combination with AMG 404 in Subjects with Glioblastoma or Malignant Glioma Expressing Mutant Epidermal Growth Factor Receptor Variant III (EGFRvIII).

This is a first in human (FIH), open-label, sequential-dose-escalation study in subjects with EGFRvIII-positive glioblastoma or malignant glioma. This study will enroll 2 groups of subjects according to disease stage, recurrent disease (Group 1) and maintenance treatment after SoC in newly diagnosed disease (Group 2).

Study Design

Study Type
Interventional
Allocation
Non Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 100 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Not provided

Exclusion Criteria

  • Not provided

Arms & Interventions

Dose exploration

Experimental

Dose exploration of the intervention, AMG 596 alone or in combination with AMG 404

Intervention: AMG 596 (Drug)

Dose exploration

Experimental

Dose exploration of the intervention, AMG 596 alone or in combination with AMG 404

Intervention: AMG 404 (Drug)

Dose expansion

Experimental

Dose expansion of the intervention, AMG 596 alone or in combination with AMG 404

Intervention: AMG 596 (Drug)

Dose expansion

Experimental

Dose expansion of the intervention, AMG 596 alone or in combination with AMG 404

Intervention: AMG 404 (Drug)

Outcomes

Primary Outcomes

Number of Participants With Dose-Limiting Toxicities (DLTs)

Time Frame: Up to 28 days

A DLT was any of the following occurring and regarded by the investigator as related to AMG 596. Hematological DLTs: absolute neutrophil count (ANC) \<0.5×10\^9/L for ≥7 days, febrile neutropenia with ANC\<0.5×10\^9/L and fever ≥38.5°C, platelets\<50×10\^9/L\>7 days or clinically significant bleeding. Non-hematological DLTs: any grade 4 non-hematological toxicity, any grade ≥3 non-hematological toxicity if nausea and vomiting, grade 3 non-hematologic toxicity lasting \>3 days despite treatment, grade 3 fatigue wasn't classified as DLT, grade 3 acute kidney injury, grade 3 seizure, ataxia, encephalopathy, other grade 3 neurologic-related adverse events lasting \>3 days despite treatment, neurologic-related adverse event leading to treatment interruption needing\>1 week to resolve to grade≤1, any grade 3 endocrinopathy that can't be controlled by hormonal replacement. Toxicity grading was graded using the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Number of Participants With Treatment Emergent Adverse Events (TEAEs)

Time Frame: First dose of study drug until 37 days after last dose or end of study, whichever is earlier. Duration with median (min, max) in months: 3.32 (1.28, 29.31)

An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participant. A TEAE was any AE that begun or worsened after the initial dose of investigational product. Any clinically significant changes in vital signs, physical examinations, and clinical laboratory tests that begun or worsened after the initial dose of investigational product were recorded as TEAEs.

Number of Participants With Treatment-Related Adverse Events (AEs)

Time Frame: First dose of study drug until 37 days after last dose or end of study, whichever is earlier. Duration with median (min, max) in months: 3.32 (1.28, 29.31)

A treatment-related AE was defined as any untoward medical occurrence in a clinical trial participant that was considered related to the investigational product. Any clinically significant changes in vital signs, physical examinations, and clinical laboratory tests that were considered related to the investigational product were recorded as treatment-related AEs.

Secondary Outcomes

  • Average Steady-state Concentration (Css) of Serum AMG 596(Cycle1 to Cycle2 (cycle=14 days in single participant cohorts,42 days in multiple participant cohorts):7-days on/7-days off dosing and 28-days on/14-days off dosing:pre-infusion,2,6,8,24,48hrs post-infusion start,0.5,2,4,8,24hrs post infusion end)
  • Area Under the Concentration-time Curve (AUC) for Serum AMG 596(Cycle1 to Cycle2 (cycle=14 days in single participant cohorts,42 days in multiple participant cohorts):7-days on/7-days off dosing and 28-days on/14-days off dosing:pre-infusion,2,6,8,24,48hrs post-infusion start,0.5,2,4,8,24hrs post infusion end)
  • Clearance for Serum AMG 596(Cycle1 to Cycle2 (cycle=14 days in single participant cohorts,42 days in multiple participant cohorts):7-days on/7-days off dosing and 28-days on/14-days off dosing:pre-infusion,2,6,8,24,48hrs post-infusion start,0.5,2,4,8,24hrs post infusion end)
  • Apparent Volume of Distribution at Steady-State for Serum AMG 596(Cycle1 to Cycle2 (cycle=14 days in single participant cohorts,42 days in multiple participant cohorts):7-days on/7-days off dosing and 28-days on/14-days off dosing:pre-infusion,2,6,8,24,48hrs post-infusion start,0.5,2,4,8,24hrs post infusion end)
  • Terminal Half-life (t1/2) Associated With Lambda z (λz) for Serum AMG 596(Cycle1 to Cycle2 (cycle=14 days in single participant cohorts,42 days in multiple participant cohorts):7-days on/7-days off dosing and 28-days on/14-days off dosing:pre-infusion,2,6,8,24,48hrs post-infusion start,0.5,2,4,8,24hrs post infusion end)
  • Number of Participants With an Objective Response (OR) Per Modified Response Assessment in Neuro-Oncology Criteria (RANO) Criteria With AMG 596 Monotherapy(Baseline up to 12 Months)
  • Time to Response With AMG 596 Monotherapy(Up to 12 months)
  • Response Duration With AMG 596 Monotherapy(Up to 30 months)
  • Time to Progression (TTP) With AMG 596 Monotherapy(Up to 12 Months)
  • Progression-free Survival (PFS) With AMG 596 Monotherapy(Up to 12 months)

Investigators

Sponsor
Amgen
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (10)

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