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Trial · Interventional

CompletedPhase 1Results postedRegistry data

Multiple Ascending Dose Study of AMG 598 in Adults With Obesity

Overview

Status
Completed
Phase
Phase 1
Enrollment
50 participants (actual)
Sponsor
Amgen · Industry
Design
Randomized · Double masking
Countries
1 country

United States

Start
26 Nov 2018
Primary completion
16 Dec 2019
Completion
16 Dec 2019
First posted
28 Nov 2018
Last update posted
14 Sept 2023
Conditions
Obesity

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201820192020
  1. Ph 1

    Multiple Ascending Dose Study of AMG 598 in Adults With Obesity

    NCT03757130

    26 Nov 2018 to 16 Dec 2019

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The main objective of this study is to assess the safety and tolerability of multiple doses of AMG 598 administered alone or in combination with liraglutide in adults with obesity.

Interventions

  • AMG 598Drug
  • PlaceboDrug
  • LiraglutideDrug

Arms8

  • Placebo comparator

    Placebo

    Participants received placebo subcutaneous injection once every 4 weeks (Q4W) for a total of 3 doses.

  • Active comparator

    Placebo + Liraglutide

    Participants received placebo subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.

  • Experimental

    AMG 598 70 mg

    Participants received 70 mg AMG 598 by subcutaneous injection once every 4 weeks (Q4W) for a total of 3 doses.

  • Experimental

    AMG 598 70 mg + Liraglutide

    Participants received 70 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.

  • Experimental

    AMG 598 210 mg

    Participants received 210 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses.

  • Experimental

    AMG 598 210 mg + Liraglutide

    Participants received 210 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.

  • Experimental

    AMG 598 420 mg

    Participants received 420 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses.

  • Experimental

    AMG 598 420 mg + Liraglutide

    Participants received 420 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.

Primary outcomes2

Outcomes the sponsor listed as primary.

  1. Number of Participants With Treatment-emergent Adverse Events

    Time frame · 207 days

    Registry description

    The investigator assessed the severity of each adverse event reported during the study. The assessment was based on the Amgen Standard Grading Scale: Mild: Aware of sign or symptom, but easily tolerated. Moderate: Discomfort enough to cause interference with usual activity. Severe: Incapacitating with inability to work or do usual activity. A Serious adverse event is defined as any untoward medical occurrence that, met at least 1 of the following serious criteria * Death; * Was life-threatening; * Required in-patient hospitalization or prolongation of existing hospitalization; * Resulted in persistent or significant disability/incapacity; * Was a congenital anomaly/birth defect; * Other medically important serious event. The investigator also assessed whether each adverse event was related to study drug administration based on clinical judgement.

  2. Number of Participants With TEAEs Due to Laboratory, Electrocardiogram, and Vital Sign Findings

    Time frame · 207 days

    Registry description

    TEAEs due to laboratory, electrocardiogram (ECG) and vital sign findings include any abnormal laboratory test results (hematology, clinical chemistry, or urinalysis) or electrocardiogram, or vital signs measurements, including those that worsened from baseline, that were considered clinically significant in the medical and scientific judgment of the investigator (ie, not related to progression of underlying disease).

Secondary outcomes(9)
  1. Maximum Observed Concentration (Cmax) of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  2. Time to Maximum Observed Concentration (Tmax) of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  3. Dose-normalized Cmax of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  4. Area Under the Concentration-time Curve From Time 0 to 28 Days (AUC0-28) for AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, and 85

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  5. Dose-normalized AUC0-28 for AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, and 85

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  6. Area Under the Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration (AUClast) of AMG 598 After Subcutaneous Injection on Day 57

    Time frame · Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

  7. Accumulation Ratio (AR) for Cmax of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL. Accumulation ratio for Cmax = Day 57 Cmax / Day 1 Cmax.

  8. Accumulation Ratio of AUC0-28 for AMG 598 After Subcutaneous Injection on Day 1 and Day 57

    Time frame · Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, and 85

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL. The accumulation ratio for AUC0-28 = Day 57 AUC0-28 / Day 1 AUC0-28.

  9. Terminal Half-life (T1/2,z) of AMG 598 After Subcutaneous Injection on Day 57

    Time frame · Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

    Registry description

    Serum concentrations of AMG 598 were determined using a validated electrochemiluminescence-based method. The lower limit of quantitation was 50.0 ng/mL.

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeCount of participants· 207 days

Number of Participants With Treatment-emergent Adverse Events

GroupValue (Participants)
Placebo1
Placebo + Liraglutide6
AMG 598 70 mg4
AMG 598 70 mg + Liraglutide7
AMG 598 210 mg5
AMG 598 210 mg + Liraglutide6
AMG 598 420 mg0
AMG 598 420 mg + Liraglutide4
Primary outcomeCount of participants· 207 days

Number of Participants With TEAEs Due to Laboratory, Electrocardiogram, and Vital Sign Findings

GroupValue (Participants)
Placebo0
Placebo + Liraglutide0
AMG 598 70 mg0
AMG 598 70 mg + Liraglutide0
AMG 598 210 mg1
AMG 598 210 mg + Liraglutide0
AMG 598 420 mg0
AMG 598 420 mg + Liraglutide0
Secondary and other outcome results(6)
Secondary outcomeMean· Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

Maximum Observed Concentration (Cmax) of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

GroupValue (µg/mL)Spread
AMG 598 70 mg5.831.67
AMG 598 70 mg + Liraglutide7.491.17
AMG 598 210 mg21.55.43
AMG 598 210 mg + Liraglutide18.05.76
AMG 598 420 mg51.19.70
AMG 598 420 mg + Liraglutide36.913.7
Secondary outcomeMedian· Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

Time to Maximum Observed Concentration (Tmax) of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

GroupValue (days)
AMG 598 70 mg7.1
AMG 598 70 mg + Liraglutide7.0
AMG 598 210 mg7.1
AMG 598 210 mg + Liraglutide7.0
AMG 598 420 mg6.9
AMG 598 420 mg + Liraglutide7.0
Secondary outcomeMean· Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

Dose-normalized Cmax of AMG 598 After Subcutaneous Injection on Day 1 and Day 57

GroupValue (µg/mL/mg)Spread
AMG 598 70 mg0.08330.0239
AMG 598 70 mg + Liraglutide0.1070.0167
AMG 598 210 mg0.1020.0258
AMG 598 210 mg + Liraglutide0.08560.0274
AMG 598 420 mg0.1220.0231
AMG 598 420 mg + Liraglutide0.08790.0327
Secondary outcomeMean· Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, and 85

Area Under the Concentration-time Curve From Time 0 to 28 Days (AUC0-28) for AMG 598 After Subcutaneous Injection on Day 1 and Day 57

GroupValue (days*µg/mL)Spread
AMG 598 70 mg13919.6
AMG 598 70 mg + Liraglutide14721.8
AMG 598 210 mg49572.7
AMG 598 210 mg + Liraglutide366101
AMG 598 420 mg1080225
AMG 598 420 mg + Liraglutide763285
Secondary outcomeMean· Day 1, predose, and days 6, 8, 15, 22, and 29; Day 57 predose and days 62, 64, 71, and 85

Dose-normalized AUC0-28 for AMG 598 After Subcutaneous Injection on Day 1 and Day 57

GroupValue (days*µg/mL/mg)Spread
AMG 598 70 mg1.980.279
AMG 598 70 mg + Liraglutide2.100.311
AMG 598 210 mg2.360.346
AMG 598 210 mg + Liraglutide1.740.480
AMG 598 420 mg2.570.535
AMG 598 420 mg + Liraglutide1.820.680
Secondary outcomeMean· Day 57 predose and days 62, 64, 71, 85, 99, 113, 127, 169, and 207

Area Under the Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration (AUClast) of AMG 598 After Subcutaneous Injection on Day 57

GroupValue (days*µg/mL)Spread
AMG 598 70 mg458102
AMG 598 70 mg + Liraglutide612129
AMG 598 210 mg2130334
AMG 598 210 mg + Liraglutide1570462
AMG 598 420 mg40601610
AMG 598 420 mg + Liraglutide3060920

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
PlaceboParticipants received placebo subcutaneous injection once every 4 weeks (Q4W) for a total of 3 doses.0 / 60 / 61 / 6
Placebo + LiraglutideParticipants received placebo subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.0 / 60 / 66 / 6
AMG 598 70 mgParticipants received 70 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses.0 / 60 / 64 / 6
AMG 598 70 mg + LiraglutideParticipants received 70 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.0 / 80 / 87 / 8
AMG 598 210 mgParticipants received 210 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses.0 / 60 / 65 / 6
AMG 598 210 mg + LiraglutideParticipants received 210 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.0 / 60 / 66 / 6
AMG 598 420 mgParticipants received 420 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses.0 / 60 / 60 / 6
AMG 598 420 mg + LiraglutideParticipants received 420 mg AMG 598 by subcutaneous injection once every 4 weeks for a total of 3 doses in addition to liraglutide administered by subcutaneous injection once a day for 12 weeks. The starting dose of liraglutide was 0.6 mg/day, increasing in increments of 0.6 mg/day every 7 days to reach the full dosage of 3 mg/day by week 5.0 / 60 / 64 / 6

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 65 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Men and women with ages between 18 and 65 years old, inclusive, at time of signing consent * Body mass index (BMI) between greater than or equal to 30.0 kg/m\^2 and less than or equal to 40.0 kg/m\^2 at screening * Except for obesity, otherwise healthy or medically stable per protocol * Have a stable body weight defined as less than 5 kg self-reported change during the previous 8 weeks prior to screening * Other Inclusion criteria may apply * Stable on liraglutide, depending on cohort Exclusion Criteria: * History or clinical evidence of diabetes * Inadequate organ function at screening * Currently receiving treatment in another investigational device or drug study * Women who are pregnant/lactating/breastfeeding or who plan to become pregnant/breastfeed while on study through 5 months after receiving the last dose of investigational product * History or evidence of a clinically significant disorder, condition or disease that would pose a risk to subject safety or interfere with the study evaluation, procedures or completion * A family or personal history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2; a personal history of non-familial medullary thyroid carcinoma; confirmed chronic pancreatitis or idiopathic acute pancreatitis, or gallbladder disease (ie, cholelithiasis or cholecystitis) not treated with cholecystectomy, for cohorts receiving liraglutide * History of major depressive disorder * Other Exclusion criteria may apply

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