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Rheumatoid ArthritisPhase 2NCT01059448

Safety and Efficacy of AMG 827 in Subjects With RA

A Phase 2 study testing AMG 827 in people with Rheumatoid Arthritis, run by Amgen at 44 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is an extension study for subjects who participated in Protocol 20090061 (NCT00950989). All subjects in this study will receive a 210mg injection of AMG827 for treatment for their Rheumatoid Arthritis for up to 5 years. Read more about this study

Who is it for?
Any age
Conditions the study is for
Rheumatoid Arthritis
What is being tested?
AMG 827
Could I receive a placebo?
No, everyone receives an active treatment
How many people
211 participants
Where
44 sitesin 8 countries
Study dates
3 Jun 2010to 5 Apr 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subject has provided informed consent.
  • Subject was randomized into study 20090061 and completed the week 16 evaluation.
  • Negative test for hepatitis B virus (HBV) surface antigen, hepatitis C virus (HCV) antibody, and/or human immunodeficiency virus (HIV) in subjects if clinically indicated (eg, known recent exposure) in the opinion of the investigator.
  • Subject must test negative for Tuberculosis.

Who cannot join

  • Subject had any SAE reported during 20090061 that was considered to be related to IP.
  • Subject is currently experiencing an infection of CTCAE grade 2 (if requiring oral antibiotics) or higher. Subject is ineligible until the infection is resolved in the opinion of the investigator.
  • For subjects with > 4 weeks between the week 16 visit of 20090061 and the planned first IP dose in 20090402, subject has laboratory abnormalities at screening, including:
  • Elevated aspartate aminotransferase (AST) or alanine aminotransferase (ALT); >1.5x upper limit of normal)
  • Serum total bilirubin ≥1.5 mg/dL
  • Hemoglobin < 11 g/dL
Show all 36Show fewer
  • Platelet count < 125,000 /mm3
  • White blood cell count < 3,000 cells/mm3
  • Absolute neutrophil count < 2000/mm3
  • Estimated creatinine clearance < 50 mL/min (Cockroft-Gault formula, central lab will calculate value and provide to sites)
  • Subject has a significant concurrent medical conditions, including:
  • Type 1 diabetes
  • Poorly controlled type 2 diabetes (Hemoglobin A1c > 8.5)
  • Symptomatic heart failure (New York Heart Association class II, III, or IV)
  • Myocardial infarction within the last year
  • Current or history of unstable angina pectoris within the last year
  • Uncontrolled hypertension as defined by resting blood pressure > 150/90 mmHg prior to first IP dose (confirmed by a repeat assessment)
  • Severe chronic pulmonary disease (eg, requiring oxygen therapy)
  • Major chronic inflammatory disease or connective tissue disease other than rheumatoid arthritis (eg, systemic lupus erythematosus), with the exception of secondary Sjögren's syndrome
  • Multiple sclerosis or any other demyelinating disease
  • Active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma, or history of cancer (except successfully treated in situ cervical cancer or squamous or basal cell carcinoma of the skin)
  • Any condition that, in the opinion of the investigator, might cause this study to be detrimental to the subject
  • Subject is pregnant or breast feeding, or planning to become pregnant while enrolled in the study, up to the subject's last study visit including the follow-up period.
  • Female subject is not willing to abstain from sexual intercourse or use 2 highly effective forms of birth control for the duration of the study and at least 40 days after the last dose (except women at least 3 years postmenopausal or surgically sterile). Highly effective methods of birth control for women include but are not limited to birth control pills, Depo Provera® injections, contraceptive implants, or occlusive cap (barrier method) in combination with barrier methods used by the man.
  • Male subject is not willing to abstain from sexual intercourse or use 2 highly effective forms of birth control for the duration of the study, plus an additional 16 weeks after the last dose (except for men who are surgically sterile or whose female partners are at least 3 years postmenopausal or surgically sterile). Highly effective methods of birth control include but are not limited to a condom in combination with hormonal birth control or barrier methods used by the woman.
  • Male subject (including vasectomised males) with a pregnant female partner is not willing to use effective methods to ensure that an unborn child is not exposed to AMG 827 via semen. Effective methods to ensure that an unborn child is not exposed to AMG 827 via semen include condoms or abstinence.
  • Subject has used any of the following within 14 days prior to IP initiation
  • Non-biologic disease-modifying anti-rheumatic drugs (DMARD) other than as allowed in 20090061
  • Intra-articular, intramuscular, or intravenous corticosteroids, including adrenocorticotropic hormone
  • Subject has used any of the following within 3 months prior to IP initiation
  • Leflunomide
  • Live vaccines
  • Commercially available or experimental biologic DMARD except for AMG 827
  • Subject has received gold therapy within 6 months prior to IP initiation.
  • Subject received another investigational agent (other than AMG 827) or participated in an investigational device study subsequent to 20090061.
  • Other investigational procedures are excluded.

Trial locations and contacts

44 sites in 8 countries.

44 sites in 8 countries

United States14 sites
  • Research Site

    Duncansville, Pennsylvania, 16635

  • Research Site

    Freehold, New Jersey, 07728

  • Research Site

    Grand Rapids, Michigan, 49546

  • Research Site

    La Jolla, California, 92037

  • Research Site

    Lansing, Michigan, 48910

  • Research Site

    Lexington, Kentucky, 40504

  • Research Site

    Portland, Oregon, 97239

  • Research Site

    Rock Island, Illinois, 61201

  • Research Site

    Sarasota, Florida, 34239

  • Research Site

    Scottsdale, Arizona, 85258

  • Research Site

    Springfield, Illinois, 62704

  • Research Site

    Tacoma, Washington, 98405

  • Research Site

    Tucson, Arizona, 85711

  • Research Site

    Victorville, California, 92395

Other trials in United States

Poland9 sites
  • Research Site

    Bialystok, 15-351

  • Research Site

    Bialystok, 15-461

  • Research Site

    Lublin, 20-607

  • Research Site

    Poznan, 60-356

  • Research Site

    ToruÅ", 87-100

  • Research Site

    Warsaw, 02-118

  • Research Site

    Wroclaw, 50-044

  • Research Site

    Wroclaw, 50-088

  • Research Site

    Żyrardów, 96-300

Other trials in Poland

Mexico6 sites
  • Research Site

    Guadalajara, Jalisco, 44690

  • Research Site

    Mexico City, Distrito F, 06700

  • Research Site

    Mexico City, Distrito F, 14050

  • Research Site

    Morelia, Michoacán, 58070

  • Research Site

    San Luis Potosí City, San Luis P, 78240

  • Research Site

    Tijuana, Baja Calif, 22010

Other trials in Mexico

Latvia5 sites
  • Research Site

    Bauska, 3901

  • Research Site

    Daugavpils, 5417

  • Research Site

    Liepāja, 3400

  • Research Site

    Riga, 1002

  • Research Site

    Riga, 1006

Other trials in Latvia

Canada4 sites
  • Research Site

    Montreal, Quebec, H2L 1S6

  • Research Site

    St. John's, Newfoundland and Labrador, A1A 5E8

  • Research Site

    Toronto, Ontario, M5T 2S8

  • Research Site

    Winnipeg, Manitoba, R3N 0K6

Other trials in Canada

Bulgaria3 sites
  • Research Site

    Sofia, 1612

  • Research Site

    Sofia, 1709

  • Research Site

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Czechia2 sites
  • Research Site

    Prague, 140 59

  • Research Site

    Prague, 148 00

Other trials in Czechia

United Kingdom1 site
  • Research Site

    Merseyside, L49 5PE

Other trials in United Kingdom

About this study

Official title: A Long-Term Assessment of the Safety and Efficacy of AMG 827 Subcutaneous Treatment in Subjects With Rheumatoid Arthritis

This is an extension study for subjects who participated in Protocol 20090061 (NCT00950989). All subjects in this study will receive a 210mg injection of AMG827 for treatment for their Rheumatoid Arthritis for up to 5 years.

Being tested
AMG 827
Keywords
Amgen, RA, AMG 827, 20090061
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AMG 827Drug

    AMG 827 210 mg

Study groups in NCT01059448
Study groupRoleWhat they receive
Placebo Q2WK / 210 mg AMG 827 Q2WKExperimentalParticipants who were administered matching placebo in parent study 20090061 and were administered 210 mg subcutaneous (SC) AMG 827 at Day 1, Week 1, Week 2, and every other week thereafter (Q2WK). Participants also continued to receive weekly intramuscular, oral or SC doses of methotrexate and folic acid or folate.
Receives: Drug: AMG 827
70 mg AMG 827 Q2WK / 210 mg AMG 827 Q2WKExperimentalParticipants who were administered 70 mg AMG 827 in parent study 20090061 and were administered 210 mg SC AMG 827 at Day 1, Week 1, Week 2 and Q2WK thereafter. Participants also continued to receive weekly intramuscular, oral or SC doses of methotrexate and folic acid or folate.
Receives: Drug: AMG 827
140mg AMG 827 Q2WK / 210mg AMG 827 Q2WKExperimentalParticipants who were administered 140 mg AMG 827 in parent study 20090061 and were administered 210 mg SC AMG 827 at Day 1, Week 1, Week 2, and Q2WK thereafter. Participants also continued to receive weekly intramuscular, oral or SC doses of methotrexate and folic acid or folate.
Receives: Drug: AMG 827
210 mg AMG 827 Q2WK / 210 mg AMG 827 Q2WKExperimentalParticipants who were administered 210 mg AMG 827 in parent study 20090061 and were administered 210 mg SC AMG 827 at Day 1, Week 1, Week 2, and Q2WK thereafter. Participants also continued to receive weekly intramuscular, oral or SC doses of methotrexate and folic acid or folate.
Receives: Drug: AMG 827

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With a Treatment-emergent Adverse Event (TEAE)

    A TEAE was defined as an event that occurred after the first dose date and before the end of study date in study 20090402; or an event that was already present prior to the initiation of the investigational product (i.e. present at study 20090402) baseline but worsened in either frequency or severity after the first dose date and before the end of study date in study 20090402.

    TEAEs also included serious treatment-emergent adverse events and clinically significant changes from baseline in hematology, chemistry and urinalysis profiles and clinically significant changes in vital sign measurements.

    Measured: Day 1 to Week 52 of study 20090402

  2. Number of Participants Who Achieved an American College of Rheumatology (ACR) 20 Response

    An ACR 20 response was defined as at least a 20% improvement from baseline in both tender/painful and swollen joint counts, and a 20% improvement or more in at least 3 of the following 5 criteria: physician global assessment of disease activity (PGA), subject global assessment of disease activity (SGA), participant global assessment of joint pain, participant self-assessment of disability (Health Assessment Questionnaire, HAQ-DI), and acute phase reactant: erythrocyte sedimentation rate (ESR) or C-Reactive Protein (CRP), whichever had a bigger improvement. Participants were excluded from analysis if an ACR 20 response could not be determined due to missing component data.

    Baseline refers to the baseline in parent study 20090061.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  3. Number of Participants Who Achieved an ACR 50 Response

    An ACR 50 response was defined as at least a 50% improvement from baseline in both tender/painful and swollen joint counts, and a 50% improvement or more in at least 3 of the following 5 criteria: PGA, SGA, participant global assessment of joint pain, participant self-assessment of disability (HAQ-DI), and acute phase reactant: ESR or CRP, whichever had a bigger improvement. Participants were excluded from analysis if an ACR 50 response could not be determined due to missing component data.

    Baseline refers to the baseline in parent study 20090061.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  4. Number of Participants Who Achieved an ACR 70 Response

    An ACR 70 response was defined as at least a 70% improvement from baseline in both tender/painful and swollen joint counts, and a 70% improvement or more in at least 3 of the following 5 criteria: PGA, SGA, participant global assessment of joint pain, participant self-assessment of disability (HAQ-DI), and acute phase reactant: ESR or CRP, whichever had a bigger improvement. Participants were excluded from analysis if an ACR 70 response could not be determined due to missing component data.

    Baseline refers to the baseline in parent study 20090061.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  5. Change From Baseline in Disease Activity Score 28 Joint (DAS28) Score

    The DAS28 is a composite score that is based on a 28-joint count (using 28 tender and 28 swollen joints), ESR, and SGA. The following formula was used where T/P28 and SW28 represent the tender and swollen 28 joint counts, respectively. The 28 joint counts include 10 proximal interphalangeal, 10 metacarpophalangeal, 2 wrist, 2 elbow, 2 shoulder, and 2 knee joints.

    DAS28 = 0.56 √T/P28 + 0.28 √SW28 + 0.7 x ln (ESR) +0.014 x SGA.

    DAS28 score ranged from 0 to 10, where a higher score represented higher disease activity. A negative change from baseline indicated a reduction in disease activity.

    Baseline refers to the baseline in parent study 20090061.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  6. Number of Participants With a DAS28 Score < 2.6

    The DAS28 is a composite score that is based on a 28-joint count (using 28 tender and 28 swollen joints), ESR, and SGA. The following formula was used where T/P28 and SW28 represent the tender and swollen 28 joint counts, respectively. The 28 joint counts include 10 proximal interphalangeal, 10 metacarpophalangeal, 2 wrist, 2 elbow, 2 shoulder, and 2 knee joints.

    DAS28 = 0.56 √T/P28 + 0.28 √SW28 + 0.7 x ln (ESR) +0.014 x SGA.

    DAS28 score ranged from 0 to 10, where a higher score represented higher disease activity. A score of <2.6 indicated disease activity remission.

    1 participant in the Arm "Placebo Q2WK / 210 mg AMG 827 Q2WK" was missing baseline data for DAS28.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  7. DAS28 Score at All Measured Timepoints

    The DAS28 is a composite score that is based on a 28-joint count (using 28 tender and 28 swollen joints), ESR, and SGA. The following formula was used where T/P28 and SW28 represent the tender and swollen 28 joint counts, respectively. The 28 joint counts include 10 proximal interphalangeal, 10 metacarpophalangeal, 2 wrist, 2 elbow, 2 shoulder, and 2 knee joints.

    DAS28 = 0.56 √T/P28 + 0.28 √SW28 + 0.7 x ln (ESR) +0.014 x SGA.

    DAS28 score ranged from 0 to 10, where a higher score represented higher disease activity.

    1 participant in the Arm "Placebo Q2WK / 210 mg AMG 827 Q2WK" was missing baseline data for DAS28.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  8. CRP Levels at All Measured Timepoints

    All blood samples were taken before the dose of IP was administered. Blood samples were processed and sent to the central laboratory. The central laboratory were responsible for completing assessments.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

  9. ESR at All Measured Timepoints

    All blood samples were taken before the dose of IP was administered. ESR was performed locally at each site and the ESR data was submitted to the central laboratory.

    Measured: Baseline of parent study 20090061 to Week 2, 4, 8, 12, 16, 20, 24, 36 and 48 of study 20090402.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2010 (estimated)
  2. Study start3 Jun 2010
  3. Primary completion5 Apr 2011
  4. Study completion5 Apr 2011

Why it stopped: Lack of efficacy for Brodalumab in Rheumatoid Arthritis (RA)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
211 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01059448
Sponsor's protocol ID
20090402
Status last verified
Jan 2022
First submitted
28 Jan 2010
Last updated
28 Feb 2022

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AMG 827 in people with Rheumatoid Arthritis, run by Amgen at 44 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 36 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 28 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Poland, Mexico, Latvia, Canada and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Feb 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With a Treatment-emergent Adverse Event (TEAE) (time frame: Day 1 to Week 52 of study 20090402). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2022.

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