Phase 1
Completed N=74
A First-in-human Study Evaluating Romosozumab (AMG 785) in Healthy Men and Postmenopausal Women
Source: ClinicalTrials.gov NCT01059435 ↗Enrolled (actual)
74
Serious AEs
1.4%
Results posted
Jul 2019
Primary outcomePrimary: Number of Participants With Adverse Events — 9; 4; 4; 1 Participants
Summary
The primary objective of this study is to assess the safety and tolerability of romosozumab following single dose subcutaneous (SC) or intravenous (IV) administration in healthy men and postmenopausal women.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Adverse Events |
9; 4; 4; 1; 5; 6 | — |
| PRIMARY Number of Participants Who Developed Anti-romosozumab Antibodies |
0; 0; 0; 0; 0; 2 | — |
| SECONDARY Maximum Observed Concentration (Cmax) of Romosozumab |
375; 1280; 4890; 21300; 33500; 75200 | — |
| SECONDARY Time to Maximum Observed Concentration (Tmax) of Romosozumab |
1.5; 2.5; 3; 5; 5; 4.5 | — |
| SECONDARY Initial Concentration Following IV Administration (C0) of Romosozumab |
24900; 132000 | — |
| SECONDARY Area Under the Serum Concentration-time Curve From Time Zero to Infinity for Romosozumab |
78.5; 288; 1480; 8170; 16900; 43400 | — |
| SECONDARY Apparent Clearance (CL/F) / Clearance (CL) for Romosozumab |
1.39; 1.35; 0.873; 0.383; 0.319; 0.236 | — |
| SECONDARY Half-life Associated With the Beta (Plateau) Phase of Elimination for Romosozumab |
11.1; 12.9; 18.0; 10.6 | — |
| SECONDARY Half-life Associated With the Gamma (Terminal) Phase of Elimination for Romosozumab |
5.20; 5.13; 5.50; 6.68; 5.81; 5.88 | — |
| SECONDARY Maximum Effect for Serum Type 1 Aminoterminal Propeptide (P1NP) |
69.8; 57.7; 60.9; 60.7; 100.8; 125.1 | — |
| SECONDARY Time to Maximum Effect of P1NP |
39.5; 11.0; 4.5; 15.0; 22.0; 22.0 | — |
| SECONDARY Area Under the Curve From Day 0 to Day 29 (AUC0-29) for P1NP |
1529; 1431; 1564; 1473; 2300; 2780 | — |
| SECONDARY Area Under the Curve From Day 0 to the Last Sampling Time Point (AUC0-t) for P1NP |
3234; 1431; 1564; 2782; 3962; 6759 | — |
| SECONDARY Maximum Effect for Serum C-telopeptide (sCTX) |
0.3; 0.4; 0.3; 0.3; 0.4; 0.2 | — |
| SECONDARY Time to Maximum Effect of sCTX |
1.0; 1.0; 1.0; 1.0; 1.0; 8.0 | — |
| SECONDARY Area Under the Curve From Day 0 to Day 29 (AUC0-29) for sCTX |
20; 21; 18; 15; 14; 11 | — |
| SECONDARY Area Under the Curve From Day 0 to the Last Sampling Time Point (AUC0-t) for sCTX |
37; 21; 18; 30; 29; 41 | — |
| SECONDARY Maximum Effect for Osteocalcin |
28.9; 25.6; 25.8; 26.6; 36.9; 39.0 | — |
| SECONDARY Time to Maximum Effect of Osteocalcin |
29.0; 15.0; 18.5; 22.0; 22.0; 29.0 | — |
| SECONDARY Area Under the Curve From Day 0 to Day 29 (AUC0-29) for Osteocalcin |
617; 611; 658; 570; 753; 757 | — |
| SECONDARY Area Under the Curve From Day 0 to the Last Sampling Time Point (AUC0-t) for Osteocalcin |
1259; 611; 658; 1129; 1487; 2470 | — |
| SECONDARY Maximum Effect for Bone-specific Alkaline Phosphatase (BSAP) |
21.0; 18.0; 17.2; 17.7; 26.1; 24.6 | — |
| SECONDARY Time to Maximum Effect of BSAP |
36.0; 16.5; 13.0; 15.0; 22.0; 22.0 | — |
| SECONDARY Area Under the Curve From Day 0 to Day 29 (AUC0-29) for BSAP |
462; 460; 460; 422; 588; 540 | — |
| SECONDARY Area Under the Curve From Day 0 to the Last Sampling Time Point (AUC0-t) for BSAP |
958; 460; 460; 815; 1120; 1496 | — |
| SECONDARY Maximum Effect for Intact Parathyroid Hormone (iPTH) |
43.3; 38.7; 54.5; 49.9; 62.8; 66.0 | — |
| SECONDARY Time to Maximum Effect of iPTH |
11.0; 11.0; 25.5; 22.0; 22.0; 22.0 | — |
| SECONDARY Area Under the Curve From Day 0 to Day 29 (AUC0-29) for iPTH |
817; 823; 1234; 1002; 1270; 1240 | — |
| SECONDARY Area Under the Curve From Day 0 to the Last Sampling Timepoint (AUC0-t) for iPTH |
1592; 823; 1234; 1971; 2523; 3483 | — |
| SECONDARY Percent Change From Baseline in Sclerostin |
53.2; 465.5; 835.1; 2123.8; 7965.9; 12375.7 | — |
| SECONDARY Serum Calcium Over Time |
9.49; 9.45; 9.50; 9.48; 9.42; 9.53 | — |
| SECONDARY Ionized Calcium Over Time |
5.02; 4.95; 5.02; 5.01; 4.88; 5.07 | — |
Eligibility Criteria
Inclusion Criteria
- Healthy males or female between 45 to 59 years of age, inclusive
- Postmenopausal females defined as 12 continuous months of spontaneous amenorrhea confirmed by a serum follicle-stimulating hormone (FSH) result > 40mIU/mL, or 6 weeks postsurgical bilateral oophorectomy (with or without hysterectomy)
- Males must agree to use a condom during sexual intercourse with female partners who are of reproductive potential and to have their female partners use an additional effective means of contraception or to abstain from sexual intercourse for the duration of the study
- Has no 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
Exclusion Criteria
- Diagnosed with any condition that will affect bone metabolism
- Administration of the following medications within 6 months before study drug administration:
- Hormone replacement therapy [Infrequent use of estrogen vaginal creams ( 1,000 IU/day
- Glucocorticosteroids (inhaled or topical corticosteroids administered more than 2 weeks before the enrollment date are allowed)
- Anabolic steroids
- Calcitriol, and available analogues
- Administration of the following medications within 12 months before study drug administration:
- Bisphosphonates
- Fluoride for osteoporosis
- Administration of herbal medications within 2 weeks or 5 half-lives (whichever is longer) before study drug administration
- Greatly differing levels of physical activity or constant levels of intense physical exercise during the 6 months before study drug administration
- Routine alcohol intake of > 2 drinks per day, on average, within 6 months of study drug administration
- Known sensitivity to mammalian-derived drug preparations
- Known to be hepatitis B surface antigen, hepatitis C virus, or human immunodeficiency virus (HIV) positive, or a known diagnosis of acquired immunodeficiency syndrome (AIDS)
- Any organic or psychiatric disorder which may pose a risk to subject safety and may prevent the subject from completing the study or interfere with the interpretation of the study results
- Unavailable for follow-up assessment or any concerns for subject's compliance with the protocol procedures
- Any other condition that might reduce the chance of obtaining data required by the protocol or that might compromise the ability to give truly informed consent
- Has a history of drug or alcohol abuse with the last 12 months and/or a positive urine test result at screening or admission
- Has any clinically significant abnormality during the screening physical examination, electrocardiogram (ECG), or laboratory evaluation
- Has participated in another clinical study within 4 weeks of screening or within 5 times the half-life of the investigational agent in the other clinical study, if known
- Weight ≥ 98 kilograms (216 pounds) and/or height ≥ 78 inches
- Has donated or lost 400 milliliters or more of blood or plasma within 8 weeks of study drug administration
Data sourced from ClinicalTrials.gov (NCT01059435). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.