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A Phase 2 Study to Evaluate the Efficacy and Safety of AMG531 in Aplastic Anemia

A Phase 2, Randomized, Open-Label, Parallel, Comparative, Dose-Finding Study to Evaluate the Efficacy and Safety of AMG531 in Aplastic Anemia Subjects With Thrombocytopenia Refractory to Immunosuppressive Therapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02094417
Enrollment
35
Registered
2014-03-21
Start date
2014-04-14
Completion date
2017-11-07
Last updated
2024-04-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aplastic Anemia

Keywords

Anemia, Aplastic, Thrombopoietin, Thrombocytopenia

Brief summary

The present study will be conducted to evaluate the efficacy and safety of AMG531 and to determine the recommended initial dose of AMG531 on the basis of its efficacy and safety when it is administered subcutaneously (SC) to the Aplastic Anemia (AA) patients with immunosuppressive-therapy refractory thrombocytopenia and also to assess the pharmacokinetics of this product. Its efficacy and safety during the extension period beyond one year will also be evaluated.

Interventions

DRUGAMG531

Subcutaneous, weekly injection

Sponsors

Kyowa Kirin Korea Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patient who is diagnosed as AA and refractory to immunosuppressive therapy * Platelet ≤ 30,000/μL

Exclusion criteria

* Concurrent active infection not adequately responding to appropriate therapy * HIV positivity * Bone marrow reticulin grade of \> 1 * Clinically significant cardiac disease * Arterial or venous thrombosis within the last 1 year before enrollment * Other cause of thrombocytopenia * AA with hemolytic predominant paroxysmal nocturnal hemoglobinuria (PNH) * Uncontrolled diabetes * Receiving any agent used to treat AA, including antithymocyte globulin (ATG) or ATG + cyclosporine within 6 months before starting study treatment and/or cyclosporine or anabolic hormone within 6 weeks before starting the study treatment * History of PEG-rHuMGDF, recombinant human thrombopoietin, AMG531, and other thrombopoietin (TPO)-receptor agonist * Who plans to conduct hematopoietic stem cell transplantation within 1 year

Design outcomes

Primary

MeasureTime frameDescription
Proportion of Subjects Achieving a Platelet Response at Week 9At week 9The proportion of subjects achieving a platelet response at Week 9, and two-sided 95% confidence interval will be calculated. Platelet response is defined as 1) achieving absolute platelet increase of ≥ 20x10\^9/L above baseline or 2) increase to ≥ 10x10\^9/L and by at least 100% from baseline.

Secondary

MeasureTime frameDescription
Proportion of Subjects Achieving Platelet Transfusion IndependencyInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156The proportion of subjects achieving platelet transfusion independency in any time during the initial dose evaluation period , Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated). Platelet transfusion independence is defined as achieving transfusion free period of at least 8 consecutive weeks (56 days).
Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156The proportion of subjects with erythroid response, neutrophil response and erythroid and/or neutrophil response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated).
Proportion of Subjects Achieving a Platelet ResponseInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156The proportion of subjects with a platelet response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104 and Week 1 through Week 156.
Proportion of Subjects Achieving Tri-lineage ResponsesInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 157Tri-lineage response is defined in those achieving platelet response, erythroid response, and neutrophil response all together. The proportion of subjects with tri-lineage response will be calculated in the same manner as the primary variables. Time to tri-lineage response will be summarized in the same manner as time to platelet response. Time to tri-lineage response is defined as duration of the time from Day 1 to the date of platelet response, erythroid response or neutrophil response whichever achieves last in Visit.
Duration of Study Drug Discontinuation While Maintaining Stable ResponseInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156The longest duration of study drug discontinuation in subjects while maintaining a stable response is summarized
Duration of Platelet Response and Time to Platelet ResponseInitial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156For subjects with a platelet response in any time, time to the initial platelet response and duration of platelet response will be summarized Time to the initial platelet response will be calculated as sampling date (response achieved) minus first dose date of study drug plus 1. Duration of platelet response will be calculated as the maximum of the duration of platelet response for each subject, each duration of response calculated as the date when response is disappeared minus the date when response is achieved. The censoring date is defined as the date of the last Platelet examination or EOS whichever archives first.

Countries

South Korea

Participant flow

Recruitment details

Subjects were enrolled from 14 April 2014 through 28 November 2014 from two clinical centers (Seoul St. Mary's Hospital and Samsung Medical Center, Seoul, South Korea).

Participants by arm

ArmCount
AMG531 (Dose 1)
AMG531: 1 μg/kg, subcutaneous, once weekly
7
AMG531 (Dose 3)
AMG531: 3 μg/kg, subcutaneous, once weekly
9
AMG531 (Dose 2)
AMG531: 6 μg/kg, subcutaneous, once weekly
9
AMG531 (Dose 4)
AMG531: 10 μg/kg, subcutaneous, once weekly
10
Total35

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0001
Overall StudyEligibility criteria0100
Overall StudyNo responder4443
Overall StudyUnable to conduct observations or assess0100
Overall StudyWithdrawal by Subject1213

Baseline characteristics

CharacteristicTotalAMG531 (Dose 1)AMG531 (Dose 3)AMG531 (Dose 2)AMG531 (Dose 4)
Age, Continuous49.0 years45.0 years51.0 years50.0 years51.5 years
Baseline hemoglobin concentration6.48 g/dL
STANDARD_DEVIATION 1.26
6.73 g/dL
STANDARD_DEVIATION 0.57
6.63 g/dL
STANDARD_DEVIATION 0.71
5.95 g/dL
STANDARD_DEVIATION 1.04
6.50 g/dL
STANDARD_DEVIATION 2.14
Baseline neutrophil count0.9136 cells 10^9/L
STANDARD_DEVIATION 0.4797
0.8902 cells 10^9/L
STANDARD_DEVIATION 0.3606
0.9611 cells 10^9/L
STANDARD_DEVIATION 0.6784
0.8756 cells 10^9/L
STANDARD_DEVIATION 0.5
0.9215 cells 10^9/L
STANDARD_DEVIATION 0.3836
Baseline platelet count9.6 cells 10^9/L
STANDARD_DEVIATION 6.2
7.5 cells 10^9/L
STANDARD_DEVIATION 3.6
9.9 cells 10^9/L
STANDARD_DEVIATION 8.5
10.7 cells 10^9/L
STANDARD_DEVIATION 6.9
9.8 cells 10^9/L
STANDARD_DEVIATION 5.1
Race and Ethnicity Not Collected0 Participants
Sex: Female, Male
Female
18 Participants2 Participants6 Participants4 Participants6 Participants
Sex: Female, Male
Male
17 Participants5 Participants3 Participants5 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 71 / 90 / 90 / 10
other
Total, other adverse events
3 / 75 / 97 / 94 / 10
serious
Total, serious adverse events
0 / 72 / 92 / 93 / 10

Outcome results

Primary

Proportion of Subjects Achieving a Platelet Response at Week 9

The proportion of subjects achieving a platelet response at Week 9, and two-sided 95% confidence interval will be calculated. Platelet response is defined as 1) achieving absolute platelet increase of ≥ 20x10\^9/L above baseline or 2) increase to ≥ 10x10\^9/L and by at least 100% from baseline.

Time frame: At week 9

Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet Response at Week 90 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet Response at Week 90 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet Response at Week 93 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet Response at Week 97 Participants
Secondary

Duration of Platelet Response and Time to Platelet Response

For subjects with a platelet response in any time, time to the initial platelet response and duration of platelet response will be summarized Time to the initial platelet response will be calculated as sampling date (response achieved) minus first dose date of study drug plus 1. Duration of platelet response will be calculated as the maximum of the duration of platelet response for each subject, each duration of response calculated as the date when response is disappeared minus the date when response is achieved. The censoring date is defined as the date of the last Platelet examination or EOS whichever archives first.

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156

Population: A total of 29 subjects achieved a platelet response and the median duration of the platelet response was 77.0 days (range: 5 to 959 days). For the 29 subjects who achieved a platelet response, the median time to the initial platelet response was 43 days (range: 8 to 219 days).

ArmMeasureGroupValue (MEDIAN)
AMG531 (Dose 1)Duration of Platelet Response and Time to Platelet ResponseDuration of platelet response24.5 days
AMG531 (Dose 1)Duration of Platelet Response and Time to Platelet ResponseTime to the initial platelet response59.0 days
AMG531 (Dose 2)Duration of Platelet Response and Time to Platelet ResponseTime to the initial platelet response44.0 days
AMG531 (Dose 2)Duration of Platelet Response and Time to Platelet ResponseDuration of platelet response21.0 days
AMG531 (Dose 3)Duration of Platelet Response and Time to Platelet ResponseDuration of platelet response503.5 days
AMG531 (Dose 3)Duration of Platelet Response and Time to Platelet ResponseTime to the initial platelet response53.5 days
AMG531 (Dose 4)Duration of Platelet Response and Time to Platelet ResponseDuration of platelet response131.0 days
AMG531 (Dose 4)Duration of Platelet Response and Time to Platelet ResponseTime to the initial platelet response41.0 days
Secondary

Duration of Study Drug Discontinuation While Maintaining Stable Response

The longest duration of study drug discontinuation in subjects while maintaining a stable response is summarized

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156

Population: 3/33 (9.1%) subjects (who maintained blood cell response) discontinued the study drug during Week 1 to Week 156.

ArmMeasureValue (MEDIAN)
AMG531 (Dose 3)Duration of Study Drug Discontinuation While Maintaining Stable Response273.0 days
AMG531 (Dose 4)Duration of Study Drug Discontinuation While Maintaining Stable Response483.0 days
Secondary

Proportion of Subjects Achieving a Platelet Response

The proportion of subjects with a platelet response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104 and Week 1 through Week 156.

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156

Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 526 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 164 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1566 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1046 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseInitial dose evaluation period3 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 246 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 124 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1565 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseInitial dose evaluation period3 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 164 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 244 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 124 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 525 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1045 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 167 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 528 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseInitial dose evaluation period6 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 127 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 248 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1048 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1568 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseInitial dose evaluation period10 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 15610 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1610 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 10410 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 5210 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 2410 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving a Platelet ResponseWeek 1 - Week 1210 Participants
Secondary

Proportion of Subjects Achieving Erythroid Response and/or Neutrophil Response

The proportion of subjects with erythroid response, neutrophil response and erythroid and/or neutrophil response in any time during the initial dose evaluation period, Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated).

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156

Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Initial dose evaluation period0 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 120 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 163 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 245 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 526 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1046 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1566 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Initial dose evaluation period1 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 121 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 162 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 244 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 524 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1044 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1564 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Initial dose evaluation period1 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 121 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 164 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 247 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 527 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1047 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1567 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 246 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Initial dose evaluation period2 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Initial dose evaluation period3 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 525 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1565 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 125 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Initial dose evaluation period4 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1045 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 164 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1046 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 165 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1565 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 123 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 525 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1045 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1566 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 164 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 245 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 124 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 526 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 244 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 124 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1047 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1567 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 248 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Initial dose evaluation period4 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 125 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 165 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 245 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 528 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 525 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1045 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1568 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1565 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Initial dose evaluation period5 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1048 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 127 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Initial dose evaluation period1 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 164 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 167 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 247 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 527 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 127 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 247 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 167 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Initial dose evaluation period3 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1048 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 166 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 126 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 124 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 248 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Initial dose evaluation period6 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1047 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 164 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 1568 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1567 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 1047 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Week 1 - Week 528 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 1567 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid response and/or Neutrophil response : Initial dose evaluation period7 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 527 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseNeutrophil Response : Week 1 - Week 527 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Erythroid Response and/or Neutrophil ResponseErythroid Response : Week 1 - Week 245 Participants
Secondary

Proportion of Subjects Achieving Platelet Transfusion Independency

The proportion of subjects achieving platelet transfusion independency in any time during the initial dose evaluation period , Week 1 through Week 12, Week 1 through Week 16, Week 1 through Week 24, Week 1 through Week 52, Week 1 through Week 104, and Week1 through Week 156 will be calculated in the same manner as the primary variables (The number of subjects discontinued or subjects who have missing data will not be calculated). Platelet transfusion independence is defined as achieving transfusion free period of at least 8 consecutive weeks (56 days).

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 156

Population: With respcet to platelet transfusion indendpendence, the proportion will be calculated based on all subjcets in each analysis set and all subjects receving platelet transfusion as a pretreatment 8 weeks prior to the first AMG531 administration respectively.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 120 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Initial dose evaluation period0 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 522 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1562 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1562 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1042 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 522 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Initial dose evaluation period0 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 160 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1042 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 241 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 160 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 241 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 120 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 242 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Initial dose evaluation period2 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 122 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 162 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 242 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 522 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1042 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1562 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Initial dose evaluation period2 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 122 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 162 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 522 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1042 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1562 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 243 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1043 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 121 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 243 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 523 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Initial dose evaluation period0 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 162 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Initial dose evaluation period0 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1043 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 162 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 523 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1563 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1563 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 121 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1566 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Initial dose evaluation period2 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1046 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 124 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 164 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 164 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 124 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 246 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 1566 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencySubjects with TF : Week 1 - Week 526 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 526 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Initial dose evaluation period2 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 1046 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Platelet Transfusion IndependencyAll subjects : Week 1 - Week 246 Participants
Secondary

Proportion of Subjects Achieving Tri-lineage Responses

Tri-lineage response is defined in those achieving platelet response, erythroid response, and neutrophil response all together. The proportion of subjects with tri-lineage response will be calculated in the same manner as the primary variables. Time to tri-lineage response will be summarized in the same manner as time to platelet response. Time to tri-lineage response is defined as duration of the time from Day 1 to the date of platelet response, erythroid response or neutrophil response whichever achieves last in Visit.

Time frame: Initial dose evaluation period (Week 9), Week 12, Week 16, Week 24, Week 52, Week 104, and Week 157

Population: All efficacy analyses were carried out using the Per Protocol Set, which was defined as all enrolled subjects who received ≥6 times of the specified dose, with no major violation in the initial dose evaluation period. The Overall Number of Participants Analyzed is not consistent with numbers provided in the Participant Flow module because the Participant Flow module has been recorded based on the Full Analysis Set.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 90 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 130 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 170 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 251 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 270 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 531 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1051 Participants
AMG531 (Dose 1)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1571 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 531 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 271 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 130 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1571 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1051 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 251 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 171 Participants
AMG531 (Dose 2)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 90 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1052 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 170 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 251 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 272 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 532 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1573 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 90 Participants
AMG531 (Dose 3)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 130 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 170 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 251 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 130 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 90 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 270 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1570 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 1051 Participants
AMG531 (Dose 4)Proportion of Subjects Achieving Tri-lineage ResponsesWeek 531 Participants

Source: ClinicalTrials.gov · Data processed: Mar 2, 2026