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CompletedNCT00858377Updated May 6, 2019

A Phase 1 First-in-Human Study Evaluating AMG 900 in Advanced Solid Tumors

A Phase 1 interventional study of Arm 1- Dose Escalation and Arm 1- Dose Expansion in Advanced Malignancy, Advanced Solid Tumors and Cancer, sponsored by Amgen. Completed at 8 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-06.

Sponsored by Amgen · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
95
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This first-in-human study of AMG 900 will be conducted in two parts: dose escalation and dose expansion. The dose escalation part of the study is aimed at evaluating the safety, tolerability and PK of oral AMG 900 in subjects with advanced solid tumors. Up to 50 subjects may be enrolled in dose escalation. The dose expansion part of the study will consist of 42 subjects in three taxane-resistant tumor types. The dose of AMG 900 will be dependent upon data from the dose escalation part of the study

Read the detailed description

that G-CSF must be started at day 5, 1 day after the last day of AMG 900 and be continued until neutrophiles are > 1000 or until day 12, meaning 2 days before the reinduction.

02

Conditions studied

  • Advanced Malignancy
  • Advanced Solid Tumors
  • Cancer
  • Solid Tumors
  • Tumors

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Keywords

  • Amgen
  • Phase 1
  • First in Human
  • Advanced Solid Tumors
  • Clinical Trial
  • Aurora kinase inhibitor
  • Open-label
  • Oncology
03

In context

Neoplasms

9,610 studies on the registry are indexed under Neoplasms; 2,508 are open to participants now.

This study's enrollment of 95 is above the median of 50 across 7,429 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Amgen is the lead sponsor of 1,044 studies on the registry; 51 are open to participants now.

Of its 246 completed or terminated interventional studies of FDA-regulated products, 164 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men or women ≥ 18 years old
  • Part 1 Dose Escalation only: advanced solid tumor refractory to standard treatment for which no standard therapy is available or the subject refuses standard therapy
  • Part 1 Dose Escalation only: Measurable or evaluable disease per RECIST guidelines
  • Part 2 Dose Expansion only: Taxane-resistant tumor (defined as refractory to or progression within 6 months of discontinuing paclitaxel or docetaxel) of prespecified histology
  • Part 2 Dose Expansion only: Measurable disease per RECIST guidelines
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 2
  • Life expectancy of > 3 months, in the opinion of the investigator
  • Willing to provide existing and/or future paraffin-embedded tumor samples
  • Part 1 Dose Escalation: must have tumor tissue that is accessible for biopsy by fine needle aspiration (FNA) and must consent to undergo biopsies of their tumor (subjects in non-accelerated phase only)
  • Ability to take oral medications
  • Competent to sign and date an Institutional Review Board approved informed consent form
  • Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
  • Platelet count ≥ 100 x 109/L
  • Hemoglobin > 9 g/dL
  • Prothrombin time (PT) or partial thromboplastin time (PTT) \< 1.5 x upper limit of normal (ULN)
  • Serum creatinine \< 2.0 mg/dL
  • Calculated creatinine clearance ≥ 50 ml/min
  • AST \< 2.5 x ULN (if liver or bone metastases are present, ≤ 5 x ULN)
  • ALT \< 2.5 x ULN (if liver or bone metastases are present, ≤ 5 x ULN)
  • Alkaline phosphatase \< 2.0 x ULN (if liver or bone metastases are present, ≤ 5 x ULN)
  • Total bilirubin \< 1.5 x ULN

Exclusion criteria

Exclusion Criteria:

  • Active parenchymal brain metastases. Subjects who have had brain metastases resected or have received radiation therapy ending at least 4 weeks prior to study day 1 are eligible if they meet all of the following criteria: a) residual neurological symptoms grade \< 1; b) no dexamethasone requirement; and c) follow-up MRI shows no new lesions appearing
  • Prior bone marrow transplant (autologous or allogeneic)
  • History or presence of hematological malignancies
  • History of bleeding diathesis
  • Myocardial infarction within 6 months of study day 1, symptomatic congestive heart failure (New York Heart Association > class II), unstable angina, or unstable cardiac arrhythmia requiring medication
  • Active peptic ulcer disease
  • Gastrointestinal (GI) tract disease causing the inability to take oral medication, malabsorption syndrome, requirement for intravenous alimentation, prior surgical procedures affecting absorption, uncontrolled inflammatory GI disease (eg, Crohn's disease, ulcerative colitis)
  • Active infection requiring intravenous (IV) antibiotics within 2 weeks of study enrollment (day 1)
  • Known positive test for HIV
  • Active or chronic hepatitis B or hepatitis C infection, determined by serologic tests
  • Unresolved toxicities from prior anti-tumor therapy, defined as not having resolved to Common Terminology Criteria for Adverse Events (CTCAE) grade 0 or 1, or to levels dictated in the eligibility criteria with the exception of alopecia
  • Anti-tumor therapy within 28 days of study day 1; concurrent use of hormone deprivation therapy for hormone-refractory prostate cancer or breast cancer is permitted
  • Treatment with immune modulators including, but not limited to, corticosteroids, cyclosporine and tacrolimus within two weeks prior to enrollment
  • Therapeutic or palliative radiation therapy within two weeks of study day 1
  • Systemic anticoagulation therapy, including warfarin, within 28 days of day 1
  • Prior treatment with aurora inhibitors
  • Prior participation in an investigational study (drug or device) within 28 days of study day 1
  • Major surgery within 28 days of study day 1
  • Any co-morbid medical disorder that may increase the risk of toxicity, in the opinion of the investigator or sponsor
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
95 participants (actual)

Study arms

  • Experimental
    Arm 1- Dose Expansion

    The dose expansion part of the study will begin after completion of the dose escalation phase and will consist of 3 cohorts of 14 subjects each. One taxane-resistant tumor type will be evaluated in each cohort.

    Drug: Arm 1- Dose Expansion

  • Experimental
    Arm 1- Dose Escalation

    The dose escalation part of the study is aimed at determining the maximum tolerated dose (MTD) of AMG 900 and if necessary, the MTD with prophylactic GCSF support (MTD-G).

    Drug: Arm 1- Dose Escalation

Interventions

  • DrugArm 1- Dose Escalation

    AMG 900 is a small molecule inhibitor of aurora kinases A, B and C. AMG 900 will be administered daily for 4 days every 2 weeks (i.e., 4 consecutive days of dosing followed by 10 consecutive days off treatment).

  • DrugArm 1- Dose Expansion

    AMG 900 is a small molecule inhibitor of aurora kinases A, B and C. AMG 900 will be administered daily for 4 days every 2 weeks (i.e., 4 consecutive days of dosing followed by 10 consecutive days off treatment).

06

What researchers measure

Primary outcomes

  1. Safety: subject incidence of adverse events, first-cycle DLTs and clinically significant changes in vital signs, weight, ECGs and clinical laboratory tests

    Time frame: 1 year

  2. PK profile: AMG 900 PK parameters including, but not limited to, maximum observed concentration (Cmax), minimum observed concentration, area under the plasma concentration-time curve and, if feasible, half-life

    Time frame: 1 year

  3. Change in levels of p-Histone H3 from baseline (part 1 - dose escalation only)

    Time frame: 1 year

  4. Response rate in each taxane-resistant tumor type assessed per RECIST guidelines (part 2 - dose expansion only)

    Time frame: 1 year

Secondary outcomes

  1. Change in tumor volume from baseline measured by volumetric CT or MRI

    Time frame: 1 year

  2. Tumor response measured by CT or MRI and assessed per RECIST guidelines

    Time frame: 1 year

  3. Change from baseline in maximum standardized uptake value (SUVmax) using 18FLT-PET/CT (part 2 - dose expansion only)

    Time frame: 1 year

07

Study locations

8 sites
  • Research Site
    Tucson, Arizona 85724, United States
  • Research Site
    Los Angeles, California 90095, United States
  • Research Site
    Baltimore, Maryland 21231, United States
  • Research Site
    Las Vegas, Nevada 89148, United States
  • Research Site
    Albuquerque, New Mexico 87131, United States
  • Research Site
    Kurralta Park, South Australia 5037, Australia
  • Research Site
    Bentleigh East, Victoria 3165, Australia
  • Research Site
    Parkville, Victoria 3050, Australia
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References and documents

Publications

  • Carducci M, Shaheen M, Markman B, Hurvitz S, Mahadevan D, Kotasek D, Goodman OB Jr, Rasmussen E, Chow V, Juan G, Friberg GR, Gamelin E, Vogl FD, Desai J. A phase 1, first-in-human study of AMG 900, an orally administered pan-Aurora kinase inhibitor, in adult patients with advanced solid tumors. Invest New Drugs. 2018 Dec;36(6):1060-1071. doi: 10.1007/s10637-018-0625-6. Epub 2018 Jul 7. PubMed 29980894 ↗

Individual participant data

Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the link below.

Data sharing details ↗ · www.amgen.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2009 to primary completion in Dec 2014, 64 months.

Of 1,085 industry-sponsored phase 1 interventional studies under Neoplasms, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 58. This study's 64 months is above that.

Counting every sponsor, half of 1,494 studies reached it within 40 months; a quarter within 25 and three quarters within 63.

Neoplasms covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 26, 2009
First posted
Mar 9, 2009
StartActual
Aug 10, 2009
Primary completionActual
Dec 31, 2014
CompletionActual
Apr 3, 2019
Last update
May 6, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00858377
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Mar 9, 2009
Start date
Aug 10, 2009
Primary completion
Dec 31, 2014
Completion
Apr 3, 2019
Last update
May 6, 2019

Study contacts

MD
study director · Amgen

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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