A Phase 1, Open-Label, Single Ascending Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of TEPEZZA Subcutaneous Administration in Healthy Adult Subjects
Overview
- Phase
- Phase 1
- Intervention
- TEPEZZA
- Conditions
- Bioavailability
- Sponsor
- Amgen
- Enrollment
- 37
- Locations
- 1
- Primary Endpoint
- Cohort 1, 2, and 4: AUC From Time 0 to the Last Quantifiable Concentration (AUClast) of TEPEZZA
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The primary objective of this study is to assess the pharmacokinetics (PK) parameters of a single subcutaneous (SubQ) infusion of TEPEZZA with and without ENHANZE™ Drug Product (EDP) at 2 dose levels in healthy adult participants.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The participant is able to provide written informed consent.
- •The participant is male or female 18 to 55 years of age, inclusive.
- •The participant has a body mass index (BMI) between 21 to 30 kg/m\^², inclusive, and a minimum weight of 55 kg at Screening.
- •The participant is considered by the investigator or designee to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead electrocardiogram (ECG) results, and physical examination findings at Screening.
- •The participant has adequate venous access and can receive IV therapy.
- •Female participants of childbearing potential must have a negative serum pregnancy test at Screening and Check-in and negative urine pregnancy tests at all other protocol-specified time points. Participants who are sexually active with a non-vasectomized male partner must agree to use 2 reliable forms of contraception during the study, one of which is recommended to be hormonal, such as an oral contraceptive.
- •Female participants must agree not to donate an egg/oocyte from Day 1 until 180 days after receiving the study drug.
- •Male participants must agree not to donate sperm from Day 1 until 180 days after receiving the study drug.
- •The participant is willing and able to comply with all protocol requirements and evaluations for the duration of the study.
Exclusion Criteria
- •The participant has a positive test result for hepatitis B surface antigen, hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) types 1 or 2 antibodies at Screening.
- •The participant has a diagnosis of an autoimmune disease; or a history of HIV, hepatitis B virus (HBV), or HCV infection; a history of inflammatory bowel disease (IBD), or a history of or active thyroid eye disease (TED) at Screening.
- •The participant has active liver disease or hepatic dysfunction at Screening or Check-in, as determined by alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels \>1.5 times upper limit of normal (ULN).
- •The participant has glycated hemoglobin (HbA1c) levels ≥8% and/or fasting glucose levels (after at least an 8-hour fast) \>126 mg/dL (\>7 mmol/L) at Screening.
- •The participant has a seated resting blood pressure of \<90/40 mmHg or \>140/90 mmHg, or a seated pulse rate of \<40 beats per minute (bpm) or \>99 bpm or is considered clinically significant at Screening. One additional measurement can be taken if blood pressure and pulse rate are outside the specified limits.
- •The participant has clinically significant 12-lead ECG abnormalities at Screening and Check-in or, in the opinion of the investigator, has a second- or third-degree atrioventricular (AV) block, or has any of the following:
- •QRS \>120 msec
- •QT interval corrected for heart rate using Fridericia's formula (QTcF) \>450 msec (males) or \>470 msec (females)
- •PR interval \>220 msec
- •The participant has used any prescription (excluding hormonal birth control) or over-the-counter medications (except paracetamol \[up to 2 g per day\]), including herbal or nutritional supplements, within 14 days before receiving the study drug.
Arms & Interventions
Cohort 1: TEPEZZA Dose A SubQ
Participants will receive Dose A of TEPEZZA administered SubQ.
Intervention: TEPEZZA
Cohort 2: TEPEZZA Dose B SubQ
Participants will receive Dose B of TEPEZZA administered SubQ.
Intervention: TEPEZZA
Cohort 3: TEPEZZA Dose B Intravenously (IV)
Participants will receive Dose B of TEPEZZA administered IV.
Intervention: TEPEZZA
Cohort 4: TEPEZZA Dose B and EDP SubQ
Participants will receive coadministered doses of TEPEZZA Dose B and EDP SubQ.
Intervention: TEPEZZA
Cohort 4: TEPEZZA Dose B and EDP SubQ
Participants will receive coadministered doses of TEPEZZA Dose B and EDP SubQ.
Intervention: EDP
Outcomes
Primary Outcomes
Cohort 1, 2, and 4: AUC From Time 0 to the Last Quantifiable Concentration (AUClast) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Apparent Terminal Half-life (t1/2) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Percentage of the Area Extrapolated for Calculation of AUCinf (%AUCextrap) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Area Under the Serum Concentration-time Curve (AUC) From Time 0 Extrapolated to Infinity (AUCinf) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Maximum Observed Serum Concentration (Cmax) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Time to Maximum Observed Serum Concentration (Tmax) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Apparent Volume of Distribution During the Terminal Phase (Vz/F) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Last Quantifiable Serum Concentration (Clast) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Apparent Terminal Elimination Rate Constant (λz) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Time of Last Quantifiable Serum Concentration (Tlast) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Cohort 1, 2, and 4: Apparent Serum Clearance (CL/F) of TEPEZZA
Time Frame: Day 1 pre-dose to Day 71
Secondary Outcomes
- Cohort 3: AUCinf of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: t1/2 of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Tlast of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Total Serum Clearance (CL) of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Estimated Volume of Distribution at Steady State (Vss) of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: AUClast of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: %AUCextrap of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Cmax of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Clast of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: λz of TEPEZZA(Day 1 pre-dose to Day 71)
- Cohort 3: Volume of Distribution During the Terminal Phase (Vz) of TEPEZZA(Day 1 pre-dose to Day 71)
- Number of Participants Experiencing Serious Adverse Events (SAEs)(Up to approximately Day 71)
- Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)(Up to approximately Day 71)
- Number of Participants with Detectable Anti-drug Antibodies (ADA) to TAPEZZA(Day 1 pre-dose to Day 71)