A Phase 1 interventional study of Apremilast and Placebo in Pharmacokinetics, sponsored by Amgen. Completed at 1 site in Korea, Republic of. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-06.
Sponsored by Amgen · Phase 1, Interventional, and Treatment
This two-part study was designed to evaluate the pharmacokinetics (PK) of single and multiple doses of apremilast in healthy adult Korean males.
The study will consist of two parts. Part 1 will evaluate the PK of ascending single doses of apremilast. Part 2 will evaluate the PK of apremilast when administered as multiple doses over 14 days.
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Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.
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Vital signs (systolic and diastolic blood pressure, pulse rate, and oral [or tympanic] body temperature) will be assessed in the supine position after the subject has rested for at least five minutes. Subject must be afebrile (febrile [oral or tympanic] is defined as ≥ 38°C or 100.3°F) with vital signs within the following ranges:
Contraception Requirements:
Exclusion Criteria:
The presence of any of the following will exclude any healthy subject from enrollment into the study:
A single oral dose of 20 mg apremilast.
Drug: Apremilast
A single oral dose of 30 mg apremilast.
Drug: Apremilast
A single oral dose of 40 mg apremilast.
Drug: Apremilast
30 mg apremilast orally twice a day (BID) for 14 days.
Drug: Apremilast
Matching placebo orally twice a day for 14 days.
Drug: Placebo
Tablet for oral administration
Also known as: CC-10004, OTEZLA®
Tablet for oral administration
Part 1: Maximum Observed Plasma Concentration (Cmax) of Apremilast
Concentrations of apremilast in plasma were measured using a validated liquid chromatography tandem mass spectrometry assay.
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to the Last Measured Time Point (AUC0-t) for Apremilast
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) for Apremilast
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Terminal Elimination Half-life (T1/2) for Apremilast
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F)
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 1: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F)
Time frame: Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose.
Part 2: Area Under the Plasma Concentration-time Curve During a Dosage Interval (AUCτ) for Apremilast
Area under the plasma concentration-time curve during a dosage interval (tau) at steady state, where tau is 12 hours.
Time frame: Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose
Part 2: Maximum Observed Plasma Concentration (Cmax) of Apremilast
Time frame: Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose
Part 2: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast
Time frame: Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose
Part 2: Terminal Elimination Half-life (T1/2) for Apremilast
Time frame: Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose
Part 2: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F)
Time frame: Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose
Part 2: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F)
Time frame: Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose
Part 2: Ratio of Accumulation
Ratio of accumulation calculated as Day 14 AUC0-τ / Day 1 AUC0-τ
Time frame: Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose, and on day 14 only at 24, 36, 48, 60, and 72 hours after the morning dose
Number of Participants With Treatment-emergent Adverse Events (AEs)
Time frame: Part 1, up to 40 days; Part 2, up to 24 days
This was a two-part study in healthy Korean men. The study was conducted at 1 clinic in Korea.
| Milestone | Part 1: Apremilast 20 mg / 30 mg / 40 mg | Part 1: Apremilast 30 mg / 20 mg / 40 mg | Part 1: Apremilast 40 mg / 20 mg / 30 mg | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID |
|---|---|---|---|---|---|
| Started | 4 | 4 | 4 | 12 | 4 |
| Completed | 4 | 3 | 4 | 12 | 4 |
| Not completed | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 0 | 1 | 0 | 0 | 0 |
Concentrations of apremilast in plasma were measured using a validated liquid chromatography tandem mass spectrometry assay.
| ng/mL | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Maximum Observed Plasma Concentration (Cmax) of Apremilast | 205 ± 32.1 | 273 ± 32.1 | 373 ± 19.7 |
| hours | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast | 3.0 (1.5 to 5.0) | 3.0 (1.5 to 5.0) | 2.0 (0.5 to 5.0) |
| ng*hr/mL | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to the Last Measured Time Point (AUC0-t) for Apremilast | 1770 ± 25.8 | 2330 ± 22.6 | 3470 ± 25.7 |
| ng*hr/mL | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) for Apremilast | 1790 ± 25.5 | 2360 ± 22.1 | 3500 ± 25.6 |
| hours | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Terminal Elimination Half-life (T1/2) for Apremilast | 7.4 ± 35.2 | 8.2 ± 44.4 | 7.4 ± 36.8 |
| liters/hour | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | 11.1 ± 25.5 | 12.7 ± 22.1 | 11.4 ± 25.6 |
| liters | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg |
|---|---|---|---|
| Part 1: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) | 120 ± 47.6 | 151 ± 49.6 | 122 ± 38.7 |
Area under the plasma concentration-time curve during a dosage interval (tau) at steady state, where tau is 12 hours.
| ng*hr/mL | Part 2: Apremilast 30 mg BID |
|---|---|
| Day 1 | 1610 ± 33.0 |
| Day 14 | 2600 ± 34.3 |
| ng/mL | Part 2: Apremilast 30 mg BID |
|---|---|
| Day 1 | 283 ± 34.3 |
| Day 14 | 408 ± 36.5 |
| hours | Part 2: Apremilast 30 mg BID |
|---|---|
| Day 1 | 2.00 (1.00 to 5.00) |
| Day 14 | 1.50 (1.00 to 3.00) |
| hours | Part 2: Apremilast 30 mg BID |
|---|---|
| Part 2: Terminal Elimination Half-life (T1/2) for Apremilast | 7.80 ± 31.4 |
| liters/hour | Part 2: Apremilast 30 mg BID |
|---|---|
| Part 2: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | 11.5 ± 34.3 |
| liters | Part 2: Apremilast 30 mg BID |
|---|---|
| Part 2: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) | 130 ± 53.3 |
Ratio of accumulation calculated as Day 14 AUC0-τ / Day 1 AUC0-τ
| ratio | Part 2: Apremilast 30 mg BID |
|---|---|
| Part 2: Ratio of Accumulation | 1.62 ± 36.0 |
| Participants | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID |
|---|---|---|---|---|---|
| Any treatment-emergent adverse event (TEAE) | 2 | 1 | 3 | 7 | 3 |
| TEAE related to study drug | 1 | 1 | 2 | 6 | 2 |
| Serious adverse events | 0 | 0 | 0 | 0 | 0 |
| Serious adverse events related o study dug | 0 | 0 | 0 | 0 | 0 |
| TEAE leading to discontinuation | 0 | 0 | 0 | 0 | 0 |
| Treatment-related TEAE leading to discontinuation | 0 | 0 | 0 | 0 | 0 |
| Deaths | 0 | 0 | 0 | 0 | 0 |
Collected over Part 1, up to 40 days; Part 2, up to 24 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part 1: Apremilast 20 mg | — | 0/11 (0%) | 2/11 (18.2%) |
| Part 1: Apremilast 30 mg | — | 0/12 (0%) | 1/12 (8.3%) |
| Part 1: Apremilast 40 mg | — | 0/12 (0%) | 3/12 (25%) |
| Part 1: Total | — | 0/12 (0%) | 4/12 (33.3%) |
| Part 2: Apremilast 30 mg BID | — | 0/12 (0%) | 7/12 (58.3%) |
| Part 2: Placebo BID | — | 0/4 (0%) | 3/4 (75%) |
| Part 2: Total | — | 0/16 (0%) | 10/16 (62.5%) |
| Event | Part 1: Apremilast 20 mg | Part 1: Apremilast 30 mg | Part 1: Apremilast 40 mg | Part 1: Total | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID | Part 2: Total |
|---|---|---|---|---|---|---|---|
| HeadacheNervous system disorders | 0/11 | 0/12 | 0/12 | 0/12 | 4/12 | 1/4 | 5/16 |
| Upper respiratory tract infectionInfections and infestations | 0/11 | 0/12 | 0/12 | 0/12 | 3/12 | 1/4 | 4/16 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 0/11 | 0/12 | 0/12 | 0/12 | 1/12 | 1/4 | 2/16 |
| RashSkin and subcutaneous tissue disorders | 0/11 | 0/12 | 0/12 | 0/12 | 1/12 | 1/4 | 2/16 |
| DiarrhoeaGastrointestinal disorders | 1/11 | 1/12 | 1/12 | 1/12 | 2/12 | 0/4 | 2/16 |
| NauseaGastrointestinal disorders | 0/11 | 0/12 | 2/12 | 2/12 | 0/12 | 0/4 | 0/16 |
| EpistaxisRespiratory, thoracic and mediastinal disorders | 1/11 | 0/12 | 0/12 | 1/12 | 0/12 | 0/4 | 0/16 |
| Skin exfoliationSkin and subcutaneous tissue disorders | 1/11 | 1/12 | 0/12 | 1/12 | 1/12 | 0/4 | 1/16 |
| Abdominal pain upperGastrointestinal disorders | 0/11 | 0/12 | 0/12 | 0/12 | 1/12 | 0/4 | 1/16 |
| Skin abrasionInjury, poisoning and procedural complications | 0/11 | 0/12 | 0/12 | 0/12 | 1/12 | 0/4 | 1/16 |
All enrolled participants
| Age, Continuous(years) | Part 1: Apremilast | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID | Total |
|---|---|---|---|---|
| Mean | 29.8 (19.0 to 43.0) | 30.8 (24.0 to 41.0) | 25.5 (20.0 to 31.0) | 29.6 (19.0 to 43.0) |
| Sex: Female, Male(Participants) | Part 1: Apremilast | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID | Total |
|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 |
| Male | 12 | 12 | 4 | 28 |
| Race/Ethnicity, Customized(Participants) | Part 1: Apremilast | Part 2: Apremilast 30 mg BID | Part 2: Placebo BID | Total |
|---|---|---|---|---|
| Asian | 12 | 12 | 4 | 28 |
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, Sap, Icf, Csr
This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.
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