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    Summary
    EudraCT Number:2009-012566-32
    Sponsor's Protocol Code Number:20090061
    National Competent Authority:UK - MHRA
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-08-02
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedUK - MHRA
    A.2EudraCT number2009-012566-32
    A.3Full title of the trial
    A Randomized, Double-blind, Placebo-controlled, Multiple-dose Study to Evaluate the
    Safety, Tolerability, and Efficacy of AMG 827 in Subjects with Rheumatoid Arthritis and an Inadequate Response to Methotrexate
    A.4.1Sponsor's protocol code number20090061
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorAmgen Inc
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameAMG 827
    D.3.2Product code AMG 827
    D.3.4Pharmaceutical form Solution for injection
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPSubcutaneous use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNAMG 827
    D.3.9.2Current sponsor codeAMG 827
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number70
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin No
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) Yes
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboSolution for injection
    D.8.4Route of administration of the placeboSubcutaneous use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Rheumatoid arthritis (RA)
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 12.0
    E.1.2Level LLT
    E.1.2Classification code 10039073
    E.1.2Term Rheumatoid arthritis
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the efficacy of AMG 827 compared with placebo as measured by the proportion of subjects achieving an American College of Rheumatology (ACR) 50
    response at week 12.
    E.2.2Secondary objectives of the trial
    To evaluate the efficacy of AMG 827 as measured by the following:
    − The proportion of subjects with an ACR 20 and 70 at week 12
    − Disease Activity Score 28 joint (DAS28) at week 12
    To evaluate the short term safety profile of AMG 827 in subjects with rheumatoid
    arthritis (RA)
    To characterize the pharmacokinetics (PK) of AMG 827 in subjects with RA
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    PK Sub-Study
    E.3Principal inclusion criteria
    Subject is capable of understanding and giving written, voluntary informed consent before study screening
    Male or female ≥ 18 and ≤ 70 years of age at time of screening
    Subject is diagnosed with RA as determined by meeting 1987 American College of Rheumatology (ACR) classification criteria
    Subject has active RA defined as ≥ 6 swollen joints (out of 66 joints examined) and ≥ 8 tender/painful joints (out of 68 joints examined) at screening and baseline (swollen and tender/painful joint count must not include distal interphalangeal [DIPs] joints) and at least 1 of the following at screening:
    − ESR ≥ 28 mm
    − CRP > 15 mg/L
    Subject has at least 1 of the following at screening:
    − Rheumatoid factor (RF) positive
    − Anti-cyclic citrullinated peptide (anti-CCP) antibody positive
    Subject has had RA for at least 6 months
    Subject has a negative test for hepatitis B virus (HBV) surface antigen, hepatitis C virus (HCV) antibody, and human immunodeficiency virus (HIV)
    Subject, if female and not at least 3 years postmenopausal or surgically
    sterile, has a negative serum pregnancy test within 4 weeks before
    initiating IP and a negative urine pregnancy test at baseline
    Subject is currently taking methotrexate consecutively for ≥ 12 weeks and on a
    stable dose of methotrexate at 15 to 25 mg weekly for ≥ 4 weeks at day -1. A
    lower methotrexate dose is acceptable (but no lower than 10 mg per week) if it is
    the highest tolerated dose, however, toxicity documentation by the investigator is
    required. Toxicities that would permit use of a lower dose of methotrexate
    include hepatic, gastrointestinal, mucosal, and hematologic. All subjects must
    take folic acid to minimize toxicity (at least 5 mg per week).
    If the subject is currently taking non-steroidal anti-inflammatory drugs (NSAIDs),
    the subject must be on stable use (eg, PRN use of a stable dose) ≥ 4 weeks prior
    to screening.
    If the subject is currently taking oral corticosteroids (not to exceed the equivalent
    of 10 mg of prednisone per day), the subject must be on a stable dose ≥ 4 weeks
    prior to screening.
    Subject has had a chest radiograph within 3 months prior to the first
    administration of IP that does not demonstrate abnormalities suggestive of a
    malignancy or current active infection, including tuberculosis
    Subject has a negative purified protein derivative (PPD; Tuberculin) test
    within 4 weeks before initiating IP. Tuberculin skin tests are considered
    positive when they have ≥ 5 mm of induration at 48 to 72 hours after test is placed. Subjects with a positive tuberculin skin test (if ≤ 14 mm of
    induration) are allowed if they meet all of the following criteria:
    - a history of Bacillus Calmette-Guerin vaccination
    - a negative Quantiferon test in the past year
    - no symptoms per tuberculosis worksheet
    - a negative chest radiograph
    Note: subjects with a history of a positive PPD may refuse a repeat PPD
    and be allowed to continue screening for tuberculosis as above.
    E.4Principal exclusion criteria
    Rheumatoid arthritis related
    Subject had prosthetic joint infection within 5 years of screening or native joint infection within 1 year of screening
    Subject has Class IV RA according to ACR revised response criteria (see
    Appendix C)
    Subject is diagnosed with Felty’s syndrome (RA, splenomegaly and granulocytopenia)
    Subject has a planned surgical intervention for a pretreatment condition within the duration of the study, including the follow up period
    Other medical conditions
    Subject has any active CTC grade 2 or higher infection (including chronic or localized infections) within 30 days prior to screening, at screening, or during screening period prior to first investigational product (IP) dose
    Subject has a serious infection, defined as requiring hospitalization or IV antibiotics within 8 weeks before screening
    Subject has recurrent or chronic infections, defined as ≥ 3 infections requiring anti-microbials over the past 12 months prior to screening
    Subject has one or more significant concurrent medical conditions, including:
    − Type 1 diabetes
    − Poorly controlled type 2 diabetes (hemoglobin A1c > 8.0)
    − Symptomatic heart failure (New York Heart Association class II, III, or IV)
    − Myocardial infarction within the last year
    − Current or history of unstable angina pectoris within the last year
    − Uncontrolled hypertension as defined by a resting blood pressure
    ≥ 160/95 mmHg prior to randomization (confirmed by a repeat assessment)
    − Severe chronic pulmonary disease (eg, requiring oxygen therapy)
    − Major chronic inflammatory disease or connective tissue disease other than RA (eg, systemic lupus erythematosus), with the exception of secondary Sjögren’s syndrome
    − Multiple sclerosis or any other demyelinating disease
    − Active malignancy, including evidence of cutaneous basal or squamous cell carcinoma or melanoma, or history of cancer (except successfully treated in situ cervical cancer or squamous or basal cell carcinoma of the skin).
    − History of alcoholic liver disease
    − Any condition that, in the opinion of the investigator, might cause this study to
    be detrimental to the subject
    Subject is pregnant or breast feeding, or planning to become pregnant while enrolled in the study, up to the subject’s last study visit including the follow-up
    period
    Female subject is not willing to abstain from sexual intercourse or use 2 highly
    effective forms of birth control for the duration of the study including the follow-up
    period (except women at least 3 years postmenopausal or surgically sterile).
    Highly effective methods of birth control for women include but are not limited to
    birth control pills, Depo-Provera® injections, contraceptive implants, or occlusive
    cap (barrier method) in combination with barrier methods used by the man.
    Male subject is not willing to abstain from sexual intercourse or use 2 highly
    effective forms of birth control for the duration of the study including the follow-up
    period, plus an additional 10 weeks (except for men who are surgically sterile or
    whose female partners are at least 3 years postmenopausal or surgically sterile).
    Highly effective methods of birth control include but are not limited to a condom
    in combination with hormonal birth control or barrier methods used by the
    woman.
    Male subject (including vasectomised males) with a pregnant female partner is
    not willing to use effective methods to ensure that an unborn child is not exposed
    to AMG 827 via semen. Effective methods to ensure that an unborn child is not
    exposed to AMG 827 via semen include condoms or abstinence.
    Subject has any kind of disorder that compromises the ability of the subject to
    give written informed consent and/or to comply with study procedures
    Laboratory abnormalities
    Subject has laboratory abnormalities at screening, including:
    − Elevated aspartate aminotransferase or alanine aminotransferase
    (> 1.5 ULN)
    − Serum total bilirubin ≥ 1.5 mg/dL
    − Hemoglobin < 11 g/dL
    − Platelet count < 125,000/mm3
    − White blood cell count < 3,000cells/mm3
    − Absolute neutrophil count (ANC) < 2000/mm3
    − Creatinine clearance < 50 mL/min (Cockroft-Gault formula, calculated value to be provided to sites)
    − Any other laboratory abnormality, which, in the opinion of the investigator, will
    prevent the subject from completing the study or will interfere with the interpretation of the study results
    AMG 827 contraindications or precautions
    Subject has known or suspected sensitivity to mammalian cell-derived (ie, from
    Chinese hamster ovary) products or any components of the study drug
    For further exclusion criteria please see protocol.
    E.5 End points
    E.5.1Primary end point(s)
    The primary efficacy endpoint is the ACR 50 response at Week 12.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis Information not present in EudraCT
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA30
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee No
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months1
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months1
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 175
    F.4.2.2In the whole clinical trial 240
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2009-10-12
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2009-12-02
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2011-02-11
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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