A Phase 1, Randomized, Double-blind, Placebo-controlled Study Evaluating AMG 691 in Healthy Participants and Participants With Mild-to-Moderate Asthma

Purpose

The main objective of this study is to assess the safety and tolerability of AMG 691 as single doses (healthy participants only) and multiple doses in healthy participants and participants with mild-to-moderate asthma.

Condition

  • Asthma

Eligibility

Eligible Ages
Between 18 Years and 70 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Criteria

Inclusion Part A and B

- Participants must be capable of giving informed consent and have provided informed
consent.

- Participants must be 18 to 65, inclusive at time of signing of informed consent.

- Participants must have a Body Mass Index between 18.0 to 30 kg/m^2 and total body
weight ≥ 40 kg at screening.

- Participants must be overtly healthy as determined by the investigator based on
medical evaluation and study screening procedures.

- Female participants must be of non-childbearing potential.

Inclusion Part C

- Participants must be capable of giving informed consent and have provided informed
consent.

- Participants must be 18 to 70, inclusive at time of signing of informed consent.

- Body mass index between 18.0 to 35 kg/m^2 and total body weight ≥ 40 kg at
screening.

- Participants must have documentation of physician diagnosed asthma for ≥ 12 months
prior to screening.

- Participants must have documented bronchodilator responsiveness of forced expiratory
volume in 1 second (FEV1) ≥ 10% in the 10 years before screening or at the screening
visit.

- Participants must have a pre-bronchodilator percent predicted FEV1 ≥ 50% at
screening visit and Day -1. For participants on high-dose ICS, participants must
have a percent-predicted FEV1 ≥ 70% at screening visit and on day -1.

- Participants must have peripheral blood eosinophils ≥ 200 cells/μl at screening
visit and Day -1.

- Participants must have a fractional exhaled nitric oxide (FeNO) ≥ 25 ppb at
screening visit and Day -1.

- Participant must not use inhaled corticosteroids (ICS) or must be treated with
low-dose, medium-dose, or high-dose ICS and on a stable dose for a minimum of 12
weeks prior to screening.

Exclusion (applicable to all study parts)

- History of malignancy (except for in situ cervical cancer or surgically excised
non-melanoma skin cancer occurring more than 5 years prior to randomization).

- History of anaphylaxis or hypersensitivity to biologic therapy or sensitivity to
mammalian derived products.

- History of immunodeficiency or history of severe infection within the last 3 years
requiring IV antibiotics.

- History of tuberculosis (TB), TB symptoms, or positive interferon gamma release
assay.

- History of untreated or unresolved helminthic infection within 24 weeks of day 1.

- Positive human immunodeficiency virus (HIV) antibodies, hepatitis B core antigen,
hepatitis B core antibody, or hepatitis C virus (HCV) ribonucleic acid (RNA).

- Male participants unwilling to follow contraceptive requirements.

Additional Exclusion for Part C only

- Female of childbearing potential not willing to use 2 methods of contraception with
one being a highly effective method of contraception.

- History of pulmonary disease that may interfere with interpretation of study
results.

- History of upper respiratory infection within 6 weeks of screening.

- Asthma Control Questionnaire (ACQ-6) > 3.

- Asthma symptoms or exacerbations requiring 2 or more systemic corticosteroid bursts
(≥10 mg/day prednisone or equivalent for ≥ 3 days each) in the previous 12 months.

- More than one hospitalization or emergency department visit in the last year.

- History of life-threatening asthma exacerbation after the 12 years age requiring
admission to intensive care unit.

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Part A: Single Ascending Dose (SAD)
Healthy participants will be randomized in a 3:1 ratio to receive either AMG 691 or placebo.
  • Drug: AMG 691
    Subcutaneous (SC) injection
  • Drug: Placebo
    SC injection
Experimental
Part B: Multiple Ascending Dose (MAD)
Healthy participants will be randomized in a 3:1 ratio to receive either AMG 691 or placebo.
  • Drug: AMG 691
    Subcutaneous (SC) injection
  • Drug: Placebo
    SC injection
Experimental
Part C: Multiple Dose
Participants with mild-to-moderate asthma will be randomized in a 2:1 ratio to receive either AMG 691 or placebo.
  • Drug: AMG 691
    Subcutaneous (SC) injection
  • Drug: Placebo
    SC injection

Recruiting Locations

Brigham and Womens Hospital
Boston, Massachusetts 02115

More Details

Status
Recruiting
Sponsor
Amgen

Study Contact

Amgen Call Center
866-572-6436
medinfo@amgen.com