A Study to Evaluate the Safety and Effectiveness of AMG 592 in Subjects With Steroid Refractory Chronic Graft Versus Host Disease

Overview

About this study

The purpose of this study is to evaluate the safety and tolerability of multiple ascending doses of AMG 592 in subjects with steroid refractory cGVHD. Phase 2 - The purpose is to evaluate the effectiveness of AMG 592 in subjects with steroid refractory cGVHD as measured by ORR at 16 weeks according to the 2014 cGVHD NIH Consensus Criteria.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Subject has provided informed consent prior to initiation of any study specific activities/procedures.
  • Subject is an adult ≥ 18 years old at the time of signing the informed consent.
  • Subject is a recipient of an allogeneic HSCT.
  • Subject has moderate to severe steroid-refractory cGVHD
  • Subject has received no more than 3 previous treatments for cGVHD
  • Subject may be receiving corticosteroid therapy provided that the dose is ≤ 1 mg/kg/day of systemic prednisone or equivalent and has been stable for at least 2 weeks prior to first dose of AMG 592.
  • Subject may be receiving other non-corticosteroid immunosuppressive therapies provided that the immunosuppressant dose is stable for at least 2 weeks prior to first dose of AMG 592. Adjustments to dose of calcineurin inhibitor or sirolimus are allowed only to maintain drug levels within therapeutic range.
  • Subject has a Karnofsky performance status score ≥ 50%.
  • Subject has an estimated life expectancy of > 3 months.
  • Subject must have adequate hepatic function
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Exclusion Criteria:

  • Subject is concurrently receiving treatment with calcineurin-inhibitor plus sirolimus (either agent alone is acceptable).
  • Subject has received ibrutinib, imatinib, bortezomib, entospletinib, ruxolitinib or other JAK inhibitor, or treatment with any investigational drug or device within 4 weeks prior to starting AMG 592.
  • Subject has received treatment with T-cell depleting, B-cell depleting or IL-2 signaling targeted medication 
  • Subject has received treatment with T-regulatory cell expanding therapies
  • Subject has received a donor lymphocyte infusion within 12 weeks prior to starting dose of AMG 592.
  • Subject with active morphologic relapse/progression of hematologic malignancy post transplantation. Persistent CLL early after transplantation that subsequently entered remission will not be excluded.
  • Subject has a history of malignancy, other than the indication for hematopoietic cell transplantation
  • Subject has a history of thrombotic microangiopathy, hemolytic-uremic syndrome or thrombotic thrombocytopenic purpura.
  • Subject has an active infection requiring treatment with IV antibiotics or has been hospitalized for treatment of an active infection in the 4 weeks prior to starting dose of AMG 592.
  • Active tuberculosis.
  • Hepatitis B
  • Subject has positive test results for Human Immunodeficiency Virus (HIV) or known to be HIV-positive.
  • Phase 1b subject cannot be a current smoker, nor have used any nicotine or tobacco containing products within the last 6 months prior to screening. 
  • Phase 1b subject is unable to avoid alcohol during the 4-week DLT evaluation period or tobacco consumption for the duration of the study.
  • Subject has known sensitivity to AMG 592 or its excipients to be administered during dosing.
  • History or evidence of any other clinically significant disorder, condition, or disease that, in the opinion of the investigator or Amgen physician, if consulted, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
  • Females of child-bearing potential with a positive pregnancy test (assessed by a serum pregnancy test at screening and a urine pregnancy test at baseline).
  • Females of childbearing potential who are unwilling to use 1 highly effective method of contraception during treatment and for an additional 6 weeks after receiving the last dose of AMG 592.
  • Subject has previously entered this study.

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status

Rochester, Minn.

Mayo Clinic principal investigator

Hassan Alkhateeb, M.D.

Closed for enrollment

More information

Publications

Publications are currently not available

Additional contact information

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