Phase 1
Completed N=31
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
| Outcome | Result | p-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
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.