AMG 176 First in Human Trial in Participants With Relapsed or Refractory Multiple Myeloma and Participants With Relapsed or Refractory Acute Myeloid Leukemia

Last updated: June 20, 2025
Sponsor: Amgen
Overall Status: Terminated

Phase

1

Condition

Multiple Myeloma

Bone Neoplasm

Platelet Disorders

Treatment

AMG 176

Itraconazole

Azacitidine

Clinical Study ID

NCT02675452
20150161
2015-004777-32
  • Ages 18-85
  • All Genders

Study Summary

The main objectives are to evaluate the safety and tolerability of AMG 176 monotherapy in participants with relapsed or refractory multiple myeloma and participants with relapsed or refractory acute myeloid leukemia.

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

Total Participants: 141
Treatment Group(s): 3
Primary Treatment: AMG 176
Phase: 1
Study Start date:
June 13, 2016
Estimated Completion Date:
May 27, 2024

Study Description

This is a Phase 1, first-in-human, multicenter; non-randomized, open-label and dose-exploration study of AMG 176 administered IV in participants with relapsed or refractory multiple myeloma and participants with relapsed or refractory acute myeloid leukemia The study will be conducted in five parts.

Connect with a study center

  • Royal North Shore Hospital

    St Leonards, New South Wales 2065
    Australia

    Site Not Available

  • The Alfred Hospital

    Melbourne, Victoria 3004
    Australia

    Site Not Available

  • The Royal Melbourne Hospital

    Parkville, Victoria 3050
    Australia

    Site Not Available

  • Research Site

    Prahran, Victoria 3181
    Australia

    Site Not Available

  • Tom Baker Cancer Centre

    Calgary, Alberta T2N 2T9
    Canada

    Site Not Available

  • University Health Network-Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • Universitaetsklinikum der Rheinisch-Westfaelischen Technischen Hochschule Aachen

    Aachen, 52074
    Germany

    Site Not Available

  • Universitaetsklinikum Bonn

    Bonn, 53127
    Germany

    Site Not Available

  • Universitätsklinikum Bonn

    Bonn, 53127
    Germany

    Completed

  • Universitaetsklinikum Ulm

    Ulm, 89081
    Germany

    Site Not Available

  • Universitatsklinikum Ulm

    Ulm, 89081
    Germany

    Active - Recruiting

  • Universitaetsklinikum Wuerzburg

    Wuerzburg, 97080
    Germany

    Site Not Available

  • Universitaetsklinikum Wuerzburg

    Wurzburg, 97080
    Germany

    Site Not Available

  • Universitaetsklinikum Wuerzburg

    Würzburg, 97080
    Germany

    Site Not Available

  • National Hospital Organization Nagoya Medical Center

    Nagoya-shi, Aichi 460-0001
    Japan

    Site Not Available

  • National Cancer Center Hospital East

    Kashiwa-shi, Chiba 277-8577
    Japan

    Site Not Available

  • National Hospital Organization Kyushu Cancer Center

    Fukuoka-shi, Fukuoka 811-1395
    Japan

    Site Not Available

  • National Hospital Organization Okayama Medical Center

    Okayama-shi, Okayama 701-1192
    Japan

    Site Not Available

  • NTT Medical Center Tokyo

    Shinagawa-ku, Tokyo 141-8625
    Japan

    Site Not Available

  • City of Hope National Medical Center

    Duarte, California 91010
    United States

    Site Not Available

  • University of California Davis Medical Center

    Sacramento, California 95817
    United States

    Site Not Available

  • University of Colorado

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Northside Hospital

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • University of Chicago Hospital

    Chicago, Illinois 60637
    United States

    Site Not Available

  • University Medical Center New Orleans

    New Orleans, Louisiana 70112
    United States

    Site Not Available

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • John Theurer Cancer Center at Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Utah Huntsman Cancer Institute

    Salt Lake City, Utah 84112
    United States

    Site Not Available

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