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Phase 1 Completed N=31 Randomized Quadruple-blind Treatment

Double-blind, Multiple Dose Study of Tezepelumab (AMG 157) in Adults With Mild Atopic Asthma

Source: ClinicalTrials.gov NCT01405963 ↗
Enrolled (actual)
31
Serious AEs
0.0%
Results posted
Oct 2022
Primary outcomePrimary: Maximum Percentage Decrease in Forced Expiratory Volume in 1 Second (FEV1) at 3 to 7 Hours Post Allergen Challenge — -20.645; -16.949; -19.366; -12.064 percent change — p=0.09

Summary

The purpose of this study is to assess the late and early asthmatic response after an allergen inhalation challenge in adults with mild atopic asthma after receiving multiple doses of tezepelumab (AMG 157), as well as the safety, tolerability, immunogenicity, and pharmacokinetics of multiple doses of tezepelumab in adults with mild atopic asthma.

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Percentage Decrease in Forced Expiratory Volume in 1 Second (FEV1) at 3 to 7 Hours Post Allergen Challenge
-20.645; -16.949; -19.366; -12.064 0.09
PRIMARY
Time-Adjusted Area Under the Curve for the Percent Decrease From Pre-Allergen Challenge in Forced Expiratory Volume in 1 Second (FEV1) From 3 to 7 Hours Post Allergen Challenge
12.062; 9.321; 11.864; 7.569 0.11
SECONDARY
Number of Participants With Adverse Events
12; 15; 0; 0; 0; 2
SECONDARY
Number of Participants With Grade ≥ 3 Laboratory Values
2; 2; 2; 1; 0; 1
SECONDARY
Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment
1; 0; 0; 0
SECONDARY
Maximum Percentage Decrease in FEV1 From 0 to 2 Hours Post Allergen Challenge
-33.296; -22.501; -33.160; -20.990 0.05
SECONDARY
Time-Adjusted AUC for the Percent Decrease From Pre-Allergen Challenge in FEV1 From 0 to 2 Hours Post Allergen Challenge
18.592; 11.284; 20.179; 11.297 0.03 sig
SECONDARY
Minimum FEV1 From 0 to 2 Hours Post Allergen Challenge
2.211; 2.682; 2.184; 2.774 0.05
SECONDARY
Time-Adjusted AUC for FEV1 From 0 to 2 Hours Post Allergen Challenge
2.709; 3.076; 2.607; 3.120 0.03 sig
SECONDARY
Minimum FEV1 From 3 to 7 Hours Post Allergen Challenge
2.659; 2.943; 2.627; 3.097 0.01 sig
SECONDARY
Time-Adjusted AUC for FEV1 From 3 to 7 Hours Post Allergen Challenge
2.940; 3.188; 2.853; 3.252 0.02 sig
SECONDARY
Maximum Observed Serum Concentration (Cmax) of Tezepelumab
262; 325
SECONDARY
Time of Maximum Observed Concentration (Tmax) of Tezepelumab
2.1; 2.0
SECONDARY
Minimum Observed Serum Concentration (Cmin) of Tezepelumab
60.7; 17.7
SECONDARY
Area Under the Concentration-time Curve Over the Dosing Interval (AUCtau) for Tezepelumab
2730; 4420
SECONDARY
Accumulation Ratio Based on AUCtau
1.64
SECONDARY
Accumulation Ratio Based on Cmax
1.31
SECONDARY
Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) After Last Dose for Tezepelumab
8620
SECONDARY
Terminal Half-life (t1/2z) of Tezepelumab After Last Dose
28.0

Eligibility Criteria

Inclusion Criteria

  • Male or female subjects with history of mild atopic asthma between 18 and 60 years-of-age
  • Body mass index (BMI) between 18 and 35 kg/m^2
  • Normal or clinically acceptable physical examination (PE), clinical laboratory values, and electrocardiogram (ECG); clinically acceptable PE includes history of mild atopic asthma
  • Used only inhaled short-acting β2-agonists infrequently to treat asthma
  • No current exposure to allergens to which subject experiences asthmatic responses
  • No other lung disease, exacerbations of asthma or lower respiratory tract infections for at least 6 weeks prior to screening
  • Positive skin prick test to common aeroallergens at screening
  • Additional inclusion criteria apply

Exclusion Criteria

  • History or evidence of a clinically significant disorder (including psychiatric), condition or disease that would pose a risk to subject safety or interfere with the study evaluation, procedures or completion;
  • History or current medical conditions that are contraindicated for methacholine challenge, such as myocardial infarction or stroke within previous 3 months, known cardiac disease, uncontrolled hypertension and aortic or cerebral aneurysm
  • Evidence of active or suspected bacterial, viral, fungal or parasitic infections within past 6 weeks
  • Subject has know type I/II diabetes
  • History of residential exposure to tuberculosis or has a positive purified protein derivative (PPD) or QuantiFERON test within 4 weeks before randomization
  • Subject who has history of malignancy of any type within 5 years prior to enrollment
  • Subjects tested positive for drugs/alcohol or nicotine use at screening
  • Subjects tested positive for human immunodeficiency virus (HIV), hepatitis B or hepatitis C
  • Additional exclusion criteria apply
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01405963). 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.

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