Phase
Condition
Multiple Myeloma
Bone Neoplasm
Platelet Disorders
Treatment
AMG 176
Itraconazole
Azacitidine
Clinical Study ID
Ages 18-85 All Genders
Study Summary
Eligibility Criteria
Inclusion
INCLUSION CRITERIA:
For participants in Japan only: if a participant is younger than 20 years at thetime of signing the informed consent form, informed consent must be obtained fromboth the participant and his/her legal representative
(Multiple myeloma [MM] participants) Pathologically documented, multiple myelomarelapsed or refractory disease after at least 2 lines of therapy
(MM participants only) Measurable disease per the International Myeloma WorkingGroup response criteria
(Acute myeloid leukemia [AML] participants) AML as defined by the World HealthOrganization Classification persisting or recurring following one or more treatmentcourses, and for participants in Japan, determined by the investigator to be noteligible for approved anticancer drug therapy in Japan; EXCEPT acute promyelocyticleukemia.
(AML participants only) More than 5% blasts in bone marrow and Circulating whiteblood cells < 25,000/ul.
Must be willing and able to undergo a core bone marrow biopsy (MM participants only)and bone marrow aspirate (MM and AML participants) at screening.
Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2,
(MM partiicpants only) Satisfactory hematological function without transfusion orgrowth factor support
Life expectancy of > 3 months, in the opinion of the investigator
Adequate hepatic function
Adequate cardiac function
Adequate renal function
Female participants of childbearing potential must have a negative serum or urinepregnancy test
Other inclusion criteria may apply
Exclusion
EXCLUSION CRITERIA:
Previously received an allogeneic stem cell transplant within 6 months OR havingreceived immunosuppressive therapy within the last three months OR having signs orsymptoms of acute or chronic graft-versus-host disease
Autologous stem cell transplant less than 90 days prior to study day 1
(MM participants only) MM with Immunoglobulin M subtype
(MM participants only) Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonalprotein, Skin changes syndrome
(MM participants only) Existing plasma cell leukemia
(MM participants only) Waldenstrom's macroglobulinemia
(MM participants only) Amyloidosis
Infection requiring intravenous anti-infective treatments within 1 week of studyenrollment (day 1)
Myocardial infarction within 6 months of enrollment, symptomatic congestive heartfailure (New York Heart Association > class II)
History of arterial thrombosis (eg, stroke or transient ischemic attack) in the past 6 months prior to enrollment
Currently receiving treatment in another investigational device or drug study. Otherinvestigational procedures while participating in this study will be allowed ifapproved by Amgen medical monitor
Participants with elevated cardiac troponin above the manufacturer's 99th percentileupper reference limit for ADVIA Centaur XP assay at screening performed by thecentral laboratory
Participants with evidence of recent cardiac injury at screening based on creatinekinase-muscle/brain, N-terminal prohormone of brain natriuretic peptide, andelectrocardiogram
Other exclusion criteria may apply
(AML Part 3d only) History of QT prolongation, torsades de pointes, ventriculartachycardia and cardiac arrest
History or evidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)infection unless agreed upon with medical monitor.
Study Design
Study Description
Connect with a study center
Royal North Shore Hospital
St Leonards, New South Wales 2065
AustraliaSite Not Available
The Alfred Hospital
Melbourne, Victoria 3004
AustraliaSite Not Available
The Royal Melbourne Hospital
Parkville, Victoria 3050
AustraliaSite Not Available
Research Site
Prahran, Victoria 3181
AustraliaSite Not Available
Tom Baker Cancer Centre
Calgary, Alberta T2N 2T9
CanadaSite Not Available
University Health Network-Princess Margaret Cancer Centre
Toronto, Ontario M5G 2M9
CanadaSite Not Available
Universitaetsklinikum der Rheinisch-Westfaelischen Technischen Hochschule Aachen
Aachen, 52074
GermanySite Not Available
Universitaetsklinikum Bonn
Bonn, 53127
GermanySite Not Available
Universitätsklinikum Bonn
Bonn, 53127
GermanyCompleted
Universitaetsklinikum Ulm
Ulm, 89081
GermanySite Not Available
Universitatsklinikum Ulm
Ulm, 89081
GermanyActive - Recruiting
Universitaetsklinikum Wuerzburg
Wuerzburg, 97080
GermanySite Not Available
Universitaetsklinikum Wuerzburg
Wurzburg, 97080
GermanySite Not Available
Universitaetsklinikum Wuerzburg
Würzburg, 97080
GermanySite Not Available
National Hospital Organization Nagoya Medical Center
Nagoya-shi, Aichi 460-0001
JapanSite Not Available
National Cancer Center Hospital East
Kashiwa-shi, Chiba 277-8577
JapanSite Not Available
National Hospital Organization Kyushu Cancer Center
Fukuoka-shi, Fukuoka 811-1395
JapanSite Not Available
National Hospital Organization Okayama Medical Center
Okayama-shi, Okayama 701-1192
JapanSite Not Available
NTT Medical Center Tokyo
Shinagawa-ku, Tokyo 141-8625
JapanSite Not Available
City of Hope National Medical Center
Duarte, California 91010
United StatesSite Not Available
University of California Davis Medical Center
Sacramento, California 95817
United StatesSite Not Available
University of Colorado
Aurora, Colorado 80045
United StatesSite Not Available
Northside Hospital
Atlanta, Georgia 30342
United StatesSite Not Available
University of Chicago Hospital
Chicago, Illinois 60637
United StatesSite Not Available
University Medical Center New Orleans
New Orleans, Louisiana 70112
United StatesSite Not Available
Massachusetts General Hospital Cancer Center
Boston, Massachusetts 02114
United StatesSite Not Available
John Theurer Cancer Center at Hackensack University Medical Center
Hackensack, New Jersey 07601
United StatesSite Not Available
University of Texas MD Anderson Cancer Center
Houston, Texas 77030
United StatesSite Not Available
University of Utah Huntsman Cancer Institute
Salt Lake City, Utah 84112
United StatesSite Not Available

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