Minimal Residual Disease Positive AML, Myelodysplastic Syndrome, Relapsed/Refractory AML
Conditions
Keywords
Amgen, Phase 1, Clinical Trial, Oncology/Hematology, Relapsed/Refractory AML, Immunotherapy
Brief summary
The purpose of this First-in-Human Phase 1 study is to determine if AMG 330 given as a continuous IV infusion is safe and tolerable in adult subjects that have myeloid malignancies, and to determine the maximum tolerated dose and/or a biologically active dose. The study will be conducted in multiple sites and test increasing doses of AMG 330. The safety of subjects will be monitored by intensive assessment of vital signs, electrocardiograms, physical examinations, and laboratory tests.
Interventions
0.5 µg/day - 1.6 mg/day cIV infusion administered in cycles from 14 to 28 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Informed consent provided * 18 years or older * Relapsed/refractory AML: AML as defined by the WHO Classification persisting or recurring following one or more treatment courses except promyelocytic leukemia (APML)
Exclusion criteria
* Active extramedullary AML in testes or central nervous system (CNS) * Known hypersensitivity to immunoglobulins or to any other component of the IP formulation (eg, sucrose, captisol, potassium, polysorbate 80, citrate, lysine) * Prior malignancy (other than in situ cancer) unless treated with curative intent and without evidence of disease for \> 1 years before screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | Day 1 to Day 14 | A participant was not DLT-evaluable if they dropped out before completion of the DLT window (14 days) for reasons other than an adverse event related to study drug or the participant had not received investigational product (IP) treatment for at least 14 days at the target dose for a 3- or 4-week cycle or at least 7 days at a target dose for a 2- week cycle. Furthermore, following drug interruptions, if a participant was unable to complete 2 repeat cycles for reasons other than DLT, the participant was not DLT evaluable. |
| Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Day 1 until 30 days after last dose. Median duration of treatment was: Group 1 - 29.0 days; Group 2 - 29.0 days; Group 3 - 49.50 days; Group 4 - 23.50 days | The severity of TEAEs were graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 criteria. The general guideline for assessment ranged from Grade 1 to 5, with higher grades indicating a worse outcome, and included: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening, and Grade 5 = death. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Response Rate in Participants With MRD-positive AML | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Response for participants with MRD-positive AML was defined as the percentage of participants with a conversion from MRD+ status with 0.1% threshold to CRMDR- or CRiMD-. |
| Response Rate in Participants With MDS | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Response for participants with MDS was defined as the percentage of participants with CR or marrow complete remission per IWG. |
| Duration of Response | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Duration of response was defined as the interval from the date of the first disease assessment indicating an overall response to the first documented relapse, disease progression, or death due to any cause, whichever occurs first. |
| Time to Response | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Time to response was defined as the interval from the first administration of AMG 330 to the first documentation of response. |
| Event-free Survival | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Event-free survival was defined as the interval from first administration of AMG 330 to the earliest of date of treatment failure, relapse for responders, or death due to any cause. |
| Overall Survival | Baseline until the end of study, up to approximately 6 months | Overall survival was defined as the time from enrollment until death due to any cause. |
| 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 14 day infusion duration: Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days) | — |
| Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | Baseline until the end of study, up to approximately 6 months | Number of participants with a binding anti-body positive result at any timepoint post-baseline who had a negative or no result at baseline. |
| 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days) | — |
| 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days) | — |
| 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days) | — |
| 28 Day Infusion Duration: Vz of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 day) | — |
| 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days) | — |
| 28 Day Infusion Duration: CL of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days) | — |
| 28 Day Infusion Duration: t1/2 z of AMG 330 | Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days) | — |
| Response Rate in Participants With R/R AML | From first dose of IP (Day 1) until the end of study, up to approximately 6 months | Response for participants with R/R AML was defined as the percentage of participants with complete response (CR)/complete remission with incomplete count recovery (CRi)/morphologic leukemia-free state (MLFS) \[per modified international working group (IWG) criteria\] or complete remission with partial hematologic recovery (CRh). |
Countries
Canada, Germany, Netherlands, United States
Participant flow
Recruitment details
Participants were enrolled at 9 research centers in the United States, Germany and the Netherlands and participated in the trial from August 2015 to December 2021.
Pre-assignment details
95 participants were enrolled and received treatment.
Participants by arm
| Arm | Count |
|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day Participants with R/R AML (Group 1) received AMG 330 0.5 µg/day as a 14 day continuous infusion (cIV). | 1 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day Participants with R/R AML (Group 1) received AMG 330 1.5 µg/day as a 14 day cIV. | 1 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day Participants with R/R AML (Group 1) received AMG 330 4 µg/day as a 14 day cIV. | 3 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day Participants with R/R AML (Group 1) received AMG 330 10 µg/day as a 14 day cIV. | 3 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day Participants with R/R AML (Group 1) received AMG 330 30 µg/day as a 14 day cIV. | 3 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial step dose of 10 µg/day and then the target dose of 30 µg/day as a 14 day cIV. | 3 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial step dose of 10 µg/day and then the target dose of 60 µg/day as a 14 day cIV. | 4 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial step dose of 10 µg/day and then the target dose of 120 µg/day as a 14 day cIV. | 4 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial step dose of 10 µg/day and then the target dose of 240 µg/day as a 14 day cIV. | 4 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial step dose of 10 µg/day and then the target dose of 480 µg/day as a 14 day cIV. | 3 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial daily step dose of 10 µg/day and a second step dose of 60 µg/day, and then the target dose of 240 µg/day as a 28 day cIV. | 4 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day Participants with R/R AML (Group 1) received AMG 330 at an initial daily step dose of 10 µg/day and a second step dose of 60 µg/day, then the target dose of 240 µg/day as a 28 day cIV. | 7 |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial daily step dose of 10 µg/day and a second step dose of 60 µg/day, and then the target dose of 360 µg/day as a 28 day cIV. | 3 |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial daily step dose of 10 µg/day and a second step dose of 60 µg/day, and then the target dose of 480 µg/day as a 28 day cIV. | 3 |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day Participants with R/R AML (Group 1) received AMG 330 at an initial daily step dose of 10 µg/day and a second step dose of 240 µg/day, and then the target dose of 600 µg/day as a 28 day cIV. | 6 |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day Participants with R/R AML (Group 1) received AMG 330 at initial daily step doses of 10, 240 and 600 µg/day and then the target dose of 720 µg/day as a 28 day cIV. | 3 |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day Participants with R/R AML (Group 1) received AMG 330 at initial daily step doses of 10, 240 and 600 µg/day and then the target dose of 840 µg/day as a 28 day cIV. | 5 |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day Participants with R/R AML (Group 1) received AMG 330 at initial daily step doses of 10, 240 and 600 µg/day and then the target dose of 960 µg/day as a 28 day cIV. | 4 |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day Participants with R/R AML (Group 1) received AMG 330 at initial daily step doses of 10, 240, 600, and 960 µg/day and then the target dose of 1300 µg/day as a 28 day cIV. | 5 |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day Participants with R/R AML (Group 1) received AMG 330 at initial daily step doses of 10, 60, 240, 600, and 960 µg/day and then the target dose of 1600 µg/day as a 28 day cIV. | 8 |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day Participants with MRD+ AML (Group 2) received AMG 330 at initial daily step doses of 30 µg/day for up to 2 days, 240 µg/day for up to 5 days and then the target dose of 600 µg/day as a 28 day cIV. | 4 |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day Participants with MRD+ AML (Group 2) received AMG 330 at initial step daily doses of 30 µg/day for up to 2 days, 240 µg/day for up to 5 days and then the target dose of 840 µg/day as a 28 day cIV. | 2 |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day Participants with MDS (Group 3) received AMG 330 at initial daily step doses of 30 µg/day for up to 2 days and 240 µg/day for up to 5 days and then the target dose of 600 µg/day for a total of a 28 day cIV. | 4 |
| Group 4 - Etanercept and AMG 330 Participants with R/R AML received etanercept 50 mg as a subcutaneous (SC) injection in combination with AMG 330. Participants received AMG 330 at initial daily step doses of 10 µg/day for 2 days, 60 µg/day for 3 days and 240 µg/day for 9 days for a total of a 14 day cIV.
Participants received etanercept 1 day before first AMG 330 administration and on Day 4 of each cycle. | 3 |
| Group 4 - Etanercept, Dexamethasone and AMG 330 Participants with R/R AML received etanercept 50 mg as a SC injection and dexamethsone 8 mg IV infusion in combination with AMG 330. Participants received AMG 330 at initial daily step doses of 10 µg/day for 2 days, 60 µg/day for 3 days and 240 µg/day for 9 days for a total of a 14 day cIV.
Participants received etanercept 1 day before first AMG 330 administration and on Day 4 of each cycle.
Participants received dexamethasone 1 hour before AMG 330 dose. | 4 |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 Participants with R/R AML received tocilizumab 8 mg/kg IV infusion and dexamethsone 8 mg IV infusion in combination with AMG 330. Participants received AMG 330 at initial daily step doses of 10 µg/day for 2 days, 60 µg/day for 3 days and 240 µg/day for 9 days for a total of a 14 day cIV.
Participants received tocilizumab on Day 1, 1 hour before the 1st dose of AMG 330 of each cycle.
Participants received dexamethasone 1 hour before AMG 330 dose. | 1 |
| Total | 95 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 | FG011 | FG012 | FG013 | FG014 | FG015 | FG016 | FG017 | FG018 | FG019 | FG020 | FG021 | FG022 | FG023 | FG024 | FG025 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Death | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 3 | 2 | 0 | 0 | 1 | 0 | 1 | 0 |
| Overall Study | Decision by sponsor | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Withdrawal by Subject | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 3 | 2 | 0 | 0 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Group 1 - Cohort 3 AMG 330 4 µg/Day | Group 1 - Cohort 4 AMG 330 10 µg/Day | Group 1 - Cohort 5 AMG 330 30 µg/Day | Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Group 4 - Etanercept and AMG 330 | Group 4 - Etanercept, Dexamethasone and AMG 330 | Group 4: Tocilizumab, Dexamethasone and AMG 330 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized 18-64 years | 1 Participants | 2 Participants | 2 Participants | 1 Participants | 2 Participants | 3 Participants | 1 Participants | 2 Participants | 2 Participants | 2 Participants | 5 Participants | 3 Participants | 2 Participants | 0 Participants | 4 Participants | 2 Participants | 3 Participants | 3 Participants | 3 Participants | 4 Participants | 2 Participants | 2 Participants | 2 Participants | 2 Participants | 3 Participants | 0 Participants | 58 Participants |
| Age, Customized 65-74 years | 0 Participants | 1 Participants | 1 Participants | 2 Participants | 1 Participants | 0 Participants | 2 Participants | 1 Participants | 1 Participants | 2 Participants | 2 Participants | 0 Participants | 1 Participants | 1 Participants | 2 Participants | 1 Participants | 2 Participants | 1 Participants | 1 Participants | 3 Participants | 2 Participants | 0 Participants | 2 Participants | 1 Participants | 1 Participants | 0 Participants | 31 Participants |
| Age, Customized 75-84 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 6 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 2 Participants | 0 Participants | 16 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 1 Participants | 3 Participants | 3 Participants | 3 Participants | 1 Participants | 3 Participants | 4 Participants | 4 Participants | 2 Participants | 2 Participants | 6 Participants | 3 Participants | 3 Participants | 1 Participants | 5 Participants | 3 Participants | 4 Participants | 3 Participants | 4 Participants | 8 Participants | 4 Participants | 1 Participants | 3 Participants | 2 Participants | 2 Participants | 1 Participants | 79 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 3 Participants |
| Race/Ethnicity, Customized Asian | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 16 Participants |
| Race/Ethnicity, Customized Black (or African American) | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 4 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race/Ethnicity, Customized White | 1 Participants | 3 Participants | 1 Participants | 2 Participants | 1 Participants | 4 Participants | 4 Participants | 3 Participants | 3 Participants | 3 Participants | 7 Participants | 2 Participants | 1 Participants | 0 Participants | 5 Participants | 2 Participants | 4 Participants | 2 Participants | 4 Participants | 6 Participants | 2 Participants | 1 Participants | 3 Participants | 2 Participants | 2 Participants | 1 Participants | 69 Participants |
| Sex: Female, Male Female | 1 Participants | 1 Participants | 2 Participants | 2 Participants | 0 Participants | 1 Participants | 0 Participants | 3 Participants | 2 Participants | 2 Participants | 3 Participants | 2 Participants | 1 Participants | 1 Participants | 2 Participants | 1 Participants | 3 Participants | 2 Participants | 2 Participants | 3 Participants | 1 Participants | 1 Participants | 1 Participants | 2 Participants | 3 Participants | 0 Participants | 42 Participants |
| Sex: Female, Male Male | 0 Participants | 2 Participants | 1 Participants | 1 Participants | 3 Participants | 3 Participants | 4 Participants | 1 Participants | 1 Participants | 2 Participants | 4 Participants | 1 Participants | 2 Participants | 0 Participants | 4 Participants | 2 Participants | 2 Participants | 2 Participants | 3 Participants | 5 Participants | 3 Participants | 1 Participants | 3 Participants | 1 Participants | 1 Participants | 1 Participants | 53 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk | EG012 affected / at risk | EG013 affected / at risk | EG014 affected / at risk | EG015 affected / at risk | EG016 affected / at risk | EG017 affected / at risk | EG018 affected / at risk | EG019 affected / at risk | EG020 affected / at risk | EG021 affected / at risk | EG022 affected / at risk | EG023 affected / at risk | EG024 affected / at risk | EG025 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 1 | 0 / 1 | 0 / 3 | 0 / 3 | 0 / 3 | 0 / 3 | 0 / 4 | 0 / 4 | 0 / 4 | 0 / 3 | 0 / 4 | 0 / 7 | 0 / 3 | 0 / 3 | 0 / 6 | 0 / 3 | 2 / 5 | 1 / 4 | 3 / 5 | 2 / 8 | 0 / 4 | 0 / 2 | 1 / 4 | 0 / 3 | 1 / 4 | 0 / 1 |
| other Total, other adverse events | 1 / 1 | 1 / 1 | 2 / 3 | 3 / 3 | 3 / 3 | 3 / 3 | 4 / 4 | 4 / 4 | 4 / 4 | 3 / 3 | 4 / 4 | 7 / 7 | 3 / 3 | 3 / 3 | 6 / 6 | 3 / 3 | 5 / 5 | 4 / 4 | 5 / 5 | 8 / 8 | 4 / 4 | 2 / 2 | 4 / 4 | 3 / 3 | 4 / 4 | 1 / 1 |
| serious Total, serious adverse events | 1 / 1 | 1 / 1 | 1 / 3 | 3 / 3 | 3 / 3 | 1 / 3 | 3 / 4 | 2 / 4 | 2 / 4 | 3 / 3 | 3 / 4 | 6 / 7 | 1 / 3 | 2 / 3 | 6 / 6 | 0 / 3 | 3 / 5 | 1 / 4 | 4 / 5 | 4 / 8 | 1 / 4 | 0 / 2 | 1 / 4 | 2 / 3 | 2 / 4 | 0 / 1 |
Outcome results
Number of Participants Who Experienced a Dose-limiting Toxicity (DLT)
A participant was not DLT-evaluable if they dropped out before completion of the DLT window (14 days) for reasons other than an adverse event related to study drug or the participant had not received investigational product (IP) treatment for at least 14 days at the target dose for a 3- or 4-week cycle or at least 7 days at a target dose for a 2- week cycle. Furthermore, following drug interruptions, if a participant was unable to complete 2 repeat cycles for reasons other than DLT, the participant was not DLT evaluable.
Time frame: Day 1 to Day 14
Population: DLT-evaluable Analysis Set: All DLT-evaluable participants.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 1 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 1 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Dose-limiting Toxicity (DLT) | 0 Participants |
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
The severity of TEAEs were graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 criteria. The general guideline for assessment ranged from Grade 1 to 5, with higher grades indicating a worse outcome, and included: Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = life-threatening, and Grade 5 = death.
Time frame: Day 1 until 30 days after last dose. Median duration of treatment was: Group 1 - 29.0 days; Group 2 - 29.0 days; Group 3 - 49.50 days; Group 4 - 23.50 days
Population: Safety Analysis Set: All participants that were enrolled and received at least 1 dose of AMG 330.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 1 Participants |
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 0 Participants |
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 1 Participants |
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 1 Participants |
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 1 Participants |
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 1 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 1 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 1 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 1 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 1 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 2 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 2 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 2 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 2 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 0 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 4 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 4 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 2 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 4 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 7 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 6 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 7 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 6 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 4 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 2 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 0 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 6 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 5 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 3 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 6 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 6 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 5 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 5 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 5 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 2 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 4 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 4 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 4 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 1 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 5 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 5 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 5 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 3 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 5 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 3 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 7 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 8 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 1 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 5 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 8 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 8 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 2 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 2 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 2 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 2 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 4 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 4 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 1 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 3 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 2 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 3 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 3 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 4 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 4 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 3 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 4 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 3 | 1 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | All TEAEs | 1 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 1 | 1 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 5 | 0 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 2 | 1 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE) | Grade 4 | 1 Participants |
14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 2.71 L/hr | Full Range 2.71 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 3.08 L/hr | Full Range 2.74 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 2.64 L/hr | Full Range 1.44 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 5.67 L/hr | Full Range 5.66 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 8.06 L/hr | Full Range 5.34 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 8.26 L/hr | Full Range 6.1 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 9.42 L/hr | Full Range 6.02 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 4.37 L/hr | Full Range 3.97 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 5.38 L/hr | Full Range 4.03 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 14 Day Infusion Duration: Clearance at Steady State (CL) for AMG 330 | 10.5 L/hr | Full Range 10.5 |
14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.00 ng/mL | Full Range 0 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.0231 ng/mL | Full Range 0.0231 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.0541 ng/mL | Full Range 0.0378 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.158 ng/mL | Full Range 0.0856 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.221 ng/mL | Full Range 0.22 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.155 ng/mL | Full Range 0.134 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.325 ng/mL | Full Range 0.24 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.610 ng/mL | Full Range 0.39 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 2.29 ng/mL | Full Range 1.16 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 3.97 ng/mL | Full Range 2.97 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 14 Day Infusion Duration: Steady State Serum Concentration After End of Infusion (Css) of AMG 330 | 0.952 ng/mL | Full Range 0.952 |
14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330
Time frame: 14 day infusion duration: Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 2.68 hours | Full Range 2.68 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 3.28 hours | Full Range 2.9 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 4.03 hours | Full Range 2.59 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 5.34 hours | Full Range 5.05 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 8.07 hours | Full Range 8.07 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 14 Day Infusion Duration: Terminal Half Life (t1/2 z) of AMG 330 | 7.34 hours | Full Range 7.2 |
14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 4, 8, 11, 15, 16 and 22 of Cycle 1 for Group 1 and days 8, 15 and 16 for Group 4 (each cycle was 28 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 11.9 Liters | Full Range 11.9 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 17.0 Liters | Full Range 6.02 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 31.0 Liters | Full Range 30.1 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 62.7 Liters | Full Range 49.5 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 149 Liters | Full Range 149 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 14 Day Infusion Duration: Volume of Distribution at Steady State (Vz) of AMG 330 | 44.1 Liters | Full Range 42.9 |
28 Day Infusion Duration: CL of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days)
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 22.8 L/hr | Full Range 1.95 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 8.20 L/hr | Full Range 7.43 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 12.8 L/hr | Full Range 12.8 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 4.98 L/hr | Full Range 3.04 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 5.04 L/hr | Full Range 1.54 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 9.76 L/hr | Full Range 2.77 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 13.7 L/hr | Full Range 9.62 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 2.23 L/hr | Full Range 0.86 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 8.87 L/hr | Full Range 4.9 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 14.8 L/hr | Full Range 11.3 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 4.17 L/hr | Full Range 4.17 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 28 Day Infusion Duration: CL of AMG 330 | 21.9 L/hr | Full Range 21.9 |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | 28 Day Infusion Duration: CL of AMG 330 | 5.68 L/hr | Full Range 5 |
28 Day Infusion Duration: Css After End of Infusion of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 0.440 ng/mL | Full Range 0.2 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 1.83 ng/mL | Full Range 1.07 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 1.56 ng/mL | Full Range 1.56 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 5.92 ng/mL | Full Range 3.61 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 5.95 ng/mL | Full Range 4.62 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 7.36 ng/mL | Full Range 2.09 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 3.20 ng/mL | Full Range 2.24 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 24.2 ng/mL | Full Range 5.46 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 7.52 ng/mL | Full Range 5.82 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 1.79 ng/mL | Full Range 1.37 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 8.40 ng/mL | Full Range 8.4 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 1.14 ng/mL | Full Range 1.14 |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 0.952 ng/mL | Full Range 0.952 |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | 28 Day Infusion Duration: Css After End of Infusion of AMG 330 | 1.76 ng/mL | Full Range 0.92 |
28 Day Infusion Duration: t1/2 z of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 days)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 8.34 Hours | Full Range 8.34 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 6.49 Hours | Full Range 6.49 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 4.57 Hours | Full Range 4.47 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 5.03 Hours | Full Range 4.37 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 4.96 Hours | Full Range 4.96 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 8.67 Hours | Full Range 7.71 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 3.71 Hours | Full Range 3.21 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 4.99 Hours | Full Range 2.58 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 3.80 Hours | Full Range 2.9 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 9.14 Hours | Full Range 9.14 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 4.22 Hours | Full Range 3.32 |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | 28 Day Infusion Duration: t1/2 z of AMG 330 | 6.43 Hours | Full Range 6.3 |
28 Day Infusion Duration: Vz of AMG 330
Time frame: Pre-dose to 48 hours from the start of infusion, and days 8, 15, 22, 29, and 30 of Cycle 1 (each cycle was 36 day)
Population: Includes all participants who had analyzable samples.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 293 Liters | Full Range 293 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 69.6 Liters | Full Range 69.6 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 33.1 Liters | Full Range 19.6 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 47.1 Liters | Full Range 9.69 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 19.8 Liters | Full Range 19.8 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 165 Liters | Full Range 107 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 8.79 Liters | Full Range 3.98 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 63.8 Liters | Full Range 18.2 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 76.6 Liters | Full Range 76.3 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 54.9 Liters | Full Range 54.9 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | 28 Day Infusion Duration: Vz of AMG 330 | 105 Liters | Full Range 105 |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | 28 Day Infusion Duration: Vz of AMG 330 | 60.2 Liters | Full Range 46.4 |
Duration of Response
Duration of response was defined as the interval from the date of the first disease assessment indicating an overall response to the first documented relapse, disease progression, or death due to any cause, whichever occurs first.
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
Population: Per the Statistical Analysis Plan, duration of response was only planned to be measured in the expansion cohorts. Therefore, this endpoint was not summarized due to early termination of the trial prior to dose expansion.
Event-free Survival
Event-free survival was defined as the interval from first administration of AMG 330 to the earliest of date of treatment failure, relapse for responders, or death due to any cause.
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
Population: Per the Statistical Analysis Plan, event-free survival was only planned to be measured in the expansion cohorts. Therefore, this endpoint was not summarized due to early termination of the trial prior to dose expansion.
Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation
Number of participants with a binding anti-body positive result at any timepoint post-baseline who had a negative or no result at baseline.
Time frame: Baseline until the end of study, up to approximately 6 months
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 2 Participants |
| Group 4 - Etanercept and AMG 330 | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 4 - Etanercept, Dexamethasone and AMG 330 | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 1 Participants |
| Group 4: Tocilizumab, Dexamethasone and AMG 330 | Number of Participants Who Experienced an Incident of Anti-AMG 330 Antibody Formation | 0 Participants |
Overall Survival
Overall survival was defined as the time from enrollment until death due to any cause.
Time frame: Baseline until the end of study, up to approximately 6 months
Population: Per the Statistical Analysis Plan, overall survival was only planned to be measured in the expansion cohorts. Therefore, this endpoint was not summarized due to early termination of the trial prior to dose expansion.
Response Rate in Participants With MDS
Response for participants with MDS was defined as the percentage of participants with CR or marrow complete remission per IWG.
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Response Rate in Participants With MDS | 25.0 Percentage of participants | 95% Confidence Interval 0.6 |
Response Rate in Participants With MRD-positive AML
Response for participants with MRD-positive AML was defined as the percentage of participants with a conversion from MRD+ status with 0.1% threshold to CRMDR- or CRiMD-.
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Response Rate in Participants With MRD-positive AML | 25.0 Percentage of participants | 95% Confidence Interval 0.6 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Response Rate in Participants With MRD-positive AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
Response Rate in Participants With R/R AML
Response for participants with R/R AML was defined as the percentage of participants with complete response (CR)/complete remission with incomplete count recovery (CRi)/morphologic leukemia-free state (MLFS) \[per modified international working group (IWG) criteria\] or complete remission with partial hematologic recovery (CRh).
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Group 1 - Cohort 1 AMG 330 0.5 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 2 AMG 330 1.5 µg/Day | Response Rate in Participants With R/R AML | 100.0 Percentage of participants | 95% Confidence Interval 2.5 |
| Group 1 - Cohort 3 AMG 330 4 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 4 AMG 330 10 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 5 AMG 330 30 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 6 AMG 330 10/30 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 7 AMG 330 10/60 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 8 AMG 330 10/120 µg/Day | Response Rate in Participants With R/R AML | 25.0 Percentage of participants | 95% Confidence Interval 0.6 |
| Group 1 - Cohort 9 AMG 330 10/240 µg/Day | Response Rate in Participants With R/R AML | 25.0 Percentage of participants | 95% Confidence Interval 0.6 |
| Group 1 - Cohort 10 AMG 330 10/480 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 11 AMG 330 10/60/240 µg/Day | Response Rate in Participants With R/R AML | 25.0 Percentage of participants | 95% Confidence Interval 0.6 |
| Group 1 - Cohort 12 AMG 330 10/60/240 ug/Day | Response Rate in Participants With R/R AML | 14.3 Percentage of participants | 95% Confidence Interval 0.4 |
| Group 1 - Cohort 13 AMG 330 10/60/360 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 14 AMG 330 10/60/480 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 15 AMG 330 10/240/600 µg/Day | Response Rate in Participants With R/R AML | 33.3 Percentage of participants | 95% Confidence Interval 4.3 |
| Group 1 - Cohort 16 AMG 330 10/240/600/720 µg/Day | Response Rate in Participants With R/R AML | 33.3 Percentage of participants | 95% Confidence Interval 0.8 |
| Group 1 - Cohort 17 AMG 330 10/240/600/840 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 18 AMG 330 10/240/600/960 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 19 AMG 330 10/240/600/960/1300 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 1 - Cohort 20 AMG 330 10/60/240/600/960/1600 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 2 - Cohort 1 AMG 300 30/240/600 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 2 - Cohort 2 AMG 330 30/240/840 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
| Group 3 - Cohort 1 AMG 330 30/240/600 µg/Day | Response Rate in Participants With R/R AML | 0.0 Percentage of participants | 95% Confidence Interval 0 |
Time to Response
Time to response was defined as the interval from the first administration of AMG 330 to the first documentation of response.
Time frame: From first dose of IP (Day 1) until the end of study, up to approximately 6 months
Population: Per the Statistical Analysis Plan, time to response was only planned to be measured in the expansion cohorts. Therefore, this endpoint was not summarized due to early termination of the trial prior to dose expansion.