A Phase 1 interventional study of Placebo and Tezepelumab in Healthy Volunteers, sponsored by Amgen. Completed. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-09-21.
Sponsored by Amgen · Phase 1, Interventional, and Treatment
The primary objective is to evaluate the safety, tolerability, and immunogenicity of multiple-dose administration of tezepelumab in healthy adults.
This study will follow a randomized, multiple-dose, double-blind, placebo-controlled, sequential dose-escalation study design. The study will consist of five subcutaneous (SC) cohorts and one intravenous (IV) cohort. Each dose cohort is planned to enroll 8 participants, randomized such that 6 participants will receive tezepelumab and 2 will receive placebo (3:1 ratio).
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Exclusion Criteria:
Tezepelumab will be administered subcutaneously (SC) at doses from 35 mg once every 28 days (Q28D) (cohort 1) up to 210 mg once every 7 days (Q7D) (cohort 5) and an intravenous (IV) dose cohort of 700 mg Q28D (cohort 6).
Drug: Tezepelumab
Two participants in each cohort (cohorts 1 to 6) will receive matching placebo administered subcutaneously (cohorts 1-5) or intravenously (cohort 6), matching the treatment regiment of tezepelumab.
Drug: Placebo
Administered by subcutaneous or intravenous injection.
Administered by subcutaneous or intravenous injection
Also known as: AMG 157, Tezspire
Number of Participants With Treatment-emergent Adverse Events
Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria: * was fatal; * was life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * was a congenital anomaly/birth defect; * other significant medical hazard.
Time frame: From first dose of study drug up to day 169
Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment
All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported.
Time frame: For Q28D groups: Days 28, 56, 85, 113, and 169; For Q14D and Q7D groups: Days 29, 57, 85, 113, 141, and 169
Time of Maximum Observed Concentration (Tmax) of Tezepelumab
The pharmacokinetic (PK) parameter Tmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/ml.
Time frame: First dose: Day 1 predose, end of infusion (EOI; IV cohort only), 4 hours, 3, 7, 14 (Q14D & Q28D only) and 28 days (Q28D only) postdose. Last Dose: Day 57 (Q28D), Day 71 (Q14D) and Day 78 (Q7D) predose, EOI (IV cohort), 4 hours, 3, 7, 14, 28 days postdose
Maximum Observed Concentration (Cmax) of Tezepelumab
The PK parameter Cmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/ml.
Time frame: First dose: Day 1 predose, end of infusion (EOI; IV cohort only), 4 hours, 3, 7, 14 (Q14D & Q28D only) and 28 days (Q28D only) postdose. Last Dose: Day 57 (Q28D), Day 71 (Q14D) and Day 78 (Q7D) predose, EOI (IV cohort), 4 hours, 3, 7, 14, 28 days postdose
Area Under the Concentration-time Curve Over the Dosing Interval (AUCtau) for Tezepelumab
The PK parameter AUCtau was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The dosing interval (tau) was 28 days, 14 days or 7 days depending on the treatment arm. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/ml.
Time frame: First dose: Day 1 predose, end of infusion (EOI; IV cohort only), 4 hours, 3, 7, 14 (Q14D & Q28D only) and 28 days (Q28D only) postdose. Last Dose: Day 57 (Q28D), Day 71 (Q14D) and Day 78 (Q7D) predose, EOI (IV cohort), 4 hours, 3, 7, 14, 28 days postdose
Accumulation Ratio Based on AUCtau
Accumulation ratio (AR) based on AUCtau was calculated as AUCtau after last dose / AUCtau after first dose, except for the Q7D cohort where AR was calculated as AUCtau after last dose / area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) after first dose.
Time frame: First dose: Day 1 predose, end of infusion (EOI; IV cohort only), 4 hours, 3, 7, 14 (Q14D & Q28D only) and 28 days (Q28D only) postdose. Last Dose: Day 57 (Q28D), Day 71 (Q14D) and Day 78 (Q7D) predose, EOI (IV cohort), 4 hours, 3, 7, 14, 28 days postdose
Accumulation Ratio Based on Cmax
Accumulation ratio based on Cmax calculated as Cmax after last dose / Cmax after first dose
Time frame: First dose: Day 1 predose, end of infusion (EOI; IV cohort only), 4 hours, 3, 7, 14 (Q14D & Q28D only) and 28 days (Q28D only) postdose. Last Dose: Day 57 (Q28D), Day 71 (Q14D) and Day 78 (Q7D) predose, EOI (IV cohort), 4 hours, 3, 7, 14, 28 days postdose
This study was conducted at a single center in the United States.
| Milestone | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo |
|---|---|---|---|---|---|---|---|
| Started | 6 | 6 | 6 | 6 | 7 | 6 | 12 |
| Completed | 5 | 3 | 5 | 5 | 5 | 3 | 8 |
| Not completed | 1 | 3 | 1 | 1 | 2 | 3 | 4 |
| Withdrew: Noncompliance | 1 | 0 | 0 | 0 | 1 | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 3 | 0 | 1 | 0 | 0 | 2 |
| Withdrew: Administrative decision | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 1 | 0 | 0 | 3 | 1 |
Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria: * was fatal; * was life threatening; * required in-patient hospitalization or prolongation of existing hospitalization; * resulted in persistent or significant disability/incapacity; * was a congenital anomaly/birth defect; * other significant medical hazard.
| Participants | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo |
|---|---|---|---|---|---|---|---|
| Any adverse event | 4 | 4 | 2 | 6 | 5 | 3 | 10 |
| Serious adverse events | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| AE Leading to discontinuation of study drug | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| AE Leading to discontinuation from study | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Grade 3 adverse events | 1 | 0 | 0 | 1 | 1 | 1 | 2 |
| Grade 4 adverse events | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Fatal (grade 5) adverse events | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Any treatment-related adverse event | 2 | 0 | 1 | 1 | 3 | 0 | 2 |
The pharmacokinetic (PK) parameter Tmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/ml.
| hours | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV |
|---|---|---|---|---|---|---|
| First dose | 160 (69.7 to 167) | 71.5 (70.4 to 167) | 118 (68.7 to 166) | 70.7 (69.9 to 168) | 164 (66.9 to 165) | 4.00 (1.13 to 4.17) |
| Last dose | 166 (68.6 to 176) | 71.8 (70.7 to 167) | 167 (69.3 to 168) | 66.5 (65.1 to 162) | 74.4 (65.9 to 164) | 3.97 (1.17 to 4.03) |
All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported.
| Participants | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo |
|---|---|---|---|---|---|---|---|
| Anti-tezepelumab binding antibodies | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Anti-tezepelumab neutralizing antibodies | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
The PK parameter Cmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/ml.
| µg/mL | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV |
|---|---|---|---|---|---|---|
| First dose | 3.70 ± 1.16 | 10.7 ± 3.13 | 23.6 ± 9.50 | 23.8 ± 5.40 | 18.0 ± 4.58 | 294 ± 48.2 |
| Last dose | 6.29 ± 2.02 | 16.6 ± 2.02 | 37.4 ± 17.5 | 63.8 ± 13.5 | 117 ± 45.6 | 370 ± 74.9 |
The PK parameter AUCtau was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The dosing interval (tau) was 28 days, 14 days or 7 days depending on the treatment arm. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/ml.
| days*µg/mL | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV |
|---|---|---|---|---|---|---|
| First dose | 78.9 ± 23.4 | 237 ± 50.5 | 481 ± 171 | 263 ± 49.2 | 84.3 ± 34.9 | 2980 ± 395 |
| Last dose | 136 ± 35.9 | 333 ± 28.8 | 799 ± 338 | 787 ± 180 | 732 ± 224 | 4050 ± 1270 |
Accumulation ratio (AR) based on AUCtau was calculated as AUCtau after last dose / AUCtau after first dose, except for the Q7D cohort where AR was calculated as AUCtau after last dose / area under the concentration-time curve from time 0 to time of last measurable concentration (AUC0-t) after first dose.
| ratio | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV |
|---|---|---|---|---|---|---|
| Accumulation Ratio Based on AUCtau | 1.82 ± 0.262 | 1.64 ± 0.0883 | 1.59 ± 0.242 | 2.89 ± 0.892 | 8.23 ± 1.93 | 1.34 ± 0.314 |
Accumulation ratio based on Cmax calculated as Cmax after last dose / Cmax after first dose
| ratio | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV |
|---|---|---|---|---|---|---|
| Accumulation Ratio Based on Cmax | 1.79 ± 0.392 | 1.66 ± 0.0901 | 1.59 ± 0.288 | 2.84 ± 0.965 | 6.74 ± 1.69 | 1.30 ± 0.176 |
Collected over From first dose of study drug up to day 169. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Tezepelumab 35 mg Q28D | — | 1/6 (16.7%) | 4/6 (66.7%) |
| Tezepelumab 105 mg Q28D | — | 0/6 (0%) | 4/6 (66.7%) |
| Tezepelumab 210 mg Q28D | — | 0/6 (0%) | 2/6 (33.3%) |
| Tezepelumab 210 mg Q14D | — | 0/6 (0%) | 6/6 (100%) |
| Tezepelumab 210 mg Q7D | — | 0/7 (0%) | 5/7 (71.4%) |
| Tezepelumab 700 mg Q28D IV | — | 0/6 (0%) | 3/6 (50%) |
| Tezepelumab Total | — | 1/37 (2.7%) | 24/37 (64.9%) |
| Placebo | — | 0/12 (0%) | 10/12 (83.3%) |
| Event | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Tezepelumab Total | Placebo |
|---|---|---|---|---|---|---|---|---|
| Hepatitis CInfections and infestations | 1/6 | 0/6 | 0/6 | 0/6 | 0/7 | 0/6 | 1/37 | 0/12 |
| Event | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Tezepelumab Total | Placebo |
|---|---|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 0/6 | 2/6 | 1/6 | 2/6 | 3/7 | 0/6 | 8/37 | 2/12 |
| PruritusSkin and subcutaneous tissue disorders | 2/6 | 0/6 | 0/6 | 0/6 | 1/7 | 0/6 | 3/37 | 0/12 |
| Injection site haematomaGeneral disorders | 0/6 | 0/6 | 0/6 | 0/6 | 2/7 | 0/6 | 2/37 | 1/12 |
| Injection site painGeneral disorders | 0/6 | 0/6 | 1/6 | 0/6 | 2/7 | 0/6 | 3/37 | 0/12 |
| Blood creatine phosphokinase increasedInvestigations | 0/6 | 0/6 | 0/6 | 0/6 | 2/7 | 1/6 | 3/37 | 2/12 |
| Eye irritationEye disorders | 0/6 | 0/6 | 0/6 | 1/6 | 0/7 | 0/6 | 1/37 | 0/12 |
| Abdominal painGastrointestinal disorders | 0/6 | 0/6 | 1/6 | 0/6 | 0/7 | 0/6 | 1/37 | 0/12 |
| NauseaGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 1/6 | 1/7 | 0/6 | 2/37 | 0/12 |
| Application site dermatitisGeneral disorders | 0/6 | 1/6 | 0/6 | 1/6 | 0/7 | 0/6 | 2/37 | 0/12 |
| FatigueGeneral disorders | 0/6 | 0/6 | 0/6 | 1/6 | 1/7 | 0/6 | 2/37 | 1/12 |
Participants who received at least 1 dose of study drug (Safety population).
| Age, Continuous(year) | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 29.8 ± 9.3 | 34.8 ± 5.8 | 32.3 ± 5.3 | 31.5 ± 5.6 | 36.1 ± 7.7 | 27.7 ± 4.1 | 34.1 ± 5.2 | 32.6 ± 6.4 |
| Sex: Female, Male(Participants) | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 4 | 1 | 0 | 2 | 7 |
| Male | 6 | 6 | 6 | 2 | 6 | 6 | 10 | 42 |
| Race/Ethnicity, Customized(Participants) | Tezepelumab 35 mg Q28D | Tezepelumab 105 mg Q28D | Tezepelumab 210 mg Q28D | Tezepelumab 210 mg Q14D | Tezepelumab 210 mg Q7D | Tezepelumab 700 mg Q28D IV | Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| White | 3 | 0 | 2 | 1 | 4 | 3 | 4 | 17 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 3 |
| Hispanic or Latino | 3 | 6 | 4 | 5 | 3 | 1 | 7 | 29 |
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This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Tezepelumab