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This study is a single dose escalation study of tezepelumab (AMG 157) in healthy adults (Part A) and adults with moderate to severe atopic dermatitis (Part B). The purpose of the study is to evaluate the safety, tolerability, immunogenicity and pharmacokinetics of tezepelumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tezepelumab | Experimental | Participants will receive a single dose of tezepelumab administered subcutaneously or intravenously. The starting dose will be 2.1 mg tezepelumab. |
|
| Placebo | Placebo Comparator | Participants will receive matching placebo administered subcutaneously or intravenously. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tezepelumab | Drug | Administered by subcutaneous or intravenous injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events | Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria:
| For Part A Tezepelumab/Placebo 2.1 mg, 7 mg, 21 mg, 70 mg, and 210 mg SC: 85 days. For Part A Tezepelumab/Placebo 420 mg SC, 210 mg IV, and 700 mg IV and Part B: 113 days |
| Number of Participants Who Developed Anti-tezepelumab Antibodies | All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported. | Blood samples for the measurement of antibodies were collected on Days 29, 57, 85, and (for cohorts who received 420 mg Tezepelumab/placebo SC or any IV dose) 113. |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Time of Maximum Observed Concentration (Tmax) of Tezepelumab | The time at which the maximum concentration of tezepelumab was observed was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/mL. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30779339 | Background | Parnes JR, Sullivan JT, Chen L, Dias C. Pharmacokinetics, Safety, and Tolerability of Tezepelumab (AMG 157) in Healthy and Atopic Dermatitis Adult Subjects. Clin Pharmacol Ther. 2019 Aug;106(2):441-449. doi: 10.1002/cpt.1401. Epub 2019 Mar 23. |
| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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In Part A the first 2 participants enrolled in Cohort 1 were randomized in a 1:1 ratio and subsequent participants in this cohort were randomized in a 5:1 ratio to receive tezepelumab or placebo. For Cohorts 2 to 8 in Part A, participants were randomized in a 6:2 ratio to receive tezepelumab or placebo. In Part B, the first 2 participants were randomized in a 1:1 ratio, and subsequent participants in Cohort 9 were randomized in an 8:2 ratio to receive tezepelumab or placebo.
This study was a single-ascending dose (SAD) study of tezepelumab in healthy adults (Part A; Cohorts 1-8) and adults with moderate to severe atopic dermatitis (AD) (Part B; Cohort 9).
The study was conducted at seven centers in the United States, including one center that conducted the testing in all healthy adults and six centers that performed the study in AD participants.
Dose escalation was based on blinded review of safety data up to day 15 from the previous cohort.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part A: Tezepelumab 2.1 mg SC | Healthy participants received a single dose of 2.1 mg tezepelumab administered subcutaneously (SC). |
| FG001 | Part A: Tezepelumab 7 mg SC | Healthy participants received a single dose of 7 mg tezepelumab administered subcutaneously. |
| FG002 | Part A: Tezepelumab 21 mg SC | Healthy participants received a single dose of 21 mg tezepelumab administered subcutaneously. |
| FG003 | Part A: Tezepelumab 70 mg SC | Healthy participants received a single dose of 70 mg tezepelumab administered subcutaneously. |
| FG004 | Part A: Tezepelumab 210 mg SC | Healthy participants received a single dose of 210 mg tezepelumab administered subcutaneously. |
| FG005 | Part A: Tezepelumab 420 mg SC | Healthy participants received a single dose of 420 mg tezepelumab administered subcutaneously. |
| FG006 | Part A: Tezepelumab 210 mg IV | Healthy participants received a single dose of 210 mg tezepelumab administered intravenously. |
| FG007 | Part A: Tezepelumab 700 mg IV | Healthy participants received a single dose of 700 mg tezepelumab administered intravenously. |
| FG008 | Part A: Placebo | Healthy participants received a single dose of placebo to tezepelumab administered subcutaneously or intravenously. |
| FG009 | Part B: Tezepelumab 700 mg IV | Participants with atopic dermatitis received a single dose of 700 mg tezepelumab administered intravenously. |
| FG010 | Part B: Placebo IV | Participants with atopic dermatitis received a single dose of placebo to tezepelumab administered intravenously. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Participants who received at least 1 dose of Investigational product.
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| ID | Title | Description |
|---|---|---|
| BG000 | Part A: Tezepelumab 2.1 mg SC | Healthy participants received a single dose of 2.1 mg tezepelumab administered subcutaneously (SC). |
| BG001 | Part A: Tezepelumab 7 mg SC | Healthy participants received a single dose of 7 mg tezepelumab administered subcutaneously. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Adverse Events | Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria:
| All participants who received at least 1 dose of study drug | Posted | Count of Participants | Participants | For Part A Tezepelumab/Placebo 2.1 mg, 7 mg, 21 mg, 70 mg, and 210 mg SC: 85 days. For Part A Tezepelumab/Placebo 420 mg SC, 210 mg IV, and 700 mg IV and Part B: 113 days |
For Part A Tezepelumab/Placebo 2.1 mg, 7 mg, 21 mg, 70 mg, and 210 mg SC: 85 days. For Part A Tezepelumab/Placebo 420 mg SC, 210 mg IV, and 700 mg IV and Part B: 113 days
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part A: Tezepelumab 2.1 mg SC | Healthy participants received a single dose of 2.1 mg tezepelumab administered subcutaneously (SC). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| INFECTION | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| PALPITATIONS | Cardiac disorders | MedDRA 12.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Amgen Inc. | 866-572-6436 | medinfo@amgen.com |
| ID | Term |
|---|---|
| D003876 | Dermatitis, Atopic |
| D012871 | Skin Diseases |
| ID | Term |
|---|---|
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D003872 | Dermatitis |
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| ID | Term |
|---|---|
| C000622721 | tezepelumab |
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Escalating dose cohorts will be enrolled sequentially based on a blinded review of safety data up to day 15 of the previous dose cohort with consideration of predefined stopping rules.
The first 2 participants in Cohort 1 will be a sentinel pair, randomized at a 1:1 ratio to receive either tezepelumab or placebo and monitored for safety and tolerability. Once the safety in the sentinel pair is confirmed the subsequent six participants will be randomized at a 5:1 ratio for tezepelumab or placebo treatment. In cohorts 2 through 8 (escalating doses, healthy subjects), participants will be randomized to receive tezepelumab or placebo at a 6:2 ratio. In cohort 9 (700 mg IV, atopic dermatitis subjects),a sentinel pair will again be used to first establish safety, and the subsequent 10 participants will be randomized to receive tezepelumab or placebo at a ratio of 8:2, for a total of 12 evaluable participants in this cohort.
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| Placebo | Drug | Matching placebo administered by subcutaneous or intravenous injection. |
|
| Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
| Part A: Maximum Observed Concentration (Cmax) of Tezepelumab | The maximum observed serum concentration of tezepelumab was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
| Part A: Area Under the Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Tezepelumab | The PK parameter AUC0-t was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
| Part A: Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUCinf) of Tezepelumab | The PK parameter AUCinf was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
| Part A: Elimination Half-life (t1/2) of Tezepelumab | Elimination half-life was estimated based on the serum concentrations of tezepelumab using noncompartmental methods based on the terminal phase of the concentration-time profile. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
| Part B: Time of Maximum Observed Concentration (Tmax) of Tezepelumab | Tmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
| Part B: Maximum Observed Concentration (Cmax) of Tezepelumab | Cmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
| Part B: Area Under the Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Tezepelumab | The PK parameter AUC0-t was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
| Part B: Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUCinf) of Tezepelumab | The PK parameter AUCinf was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
| Part B: Elimination Half-life (t1/2) of Tezepelumab | Elimination half-life was estimated based on the serum concentrations of tezepelumab using noncompartmental methods based on the terminal phase of the concentration-time profile. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
| Part B: Percentage of Participants Achieving at Least a 50% Reduction From Baseline in Eczema Area and Severity Index (EASI 50) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the average intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The percent of affected area for each of the 4 body areas is also assessed using the following 6-point scale: 0 = 0%, 1 = < 10%, 2 =10% to 29%, 3 = 30% to 49%, 4 = 50% to 69%, 5 = 70% to 89%, 6 = 90% to 100%. The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The sum of the scores for each body region gives the total EASI score, which ranges from 0 to 72, with higher scores indicating greater disease severity. | Baseline and days 15, 29, 43, 57, 85, and 113 |
| Part B: Percentage of Participants Achieving at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the average intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The percent of affected area for each of the 4 body areas is also assessed using the following 6-point scale: 0 = 0%, 1 = < 10%, 2 =10% to 29%, 3 = 30% to 49%, 4 = 50% to 69%, 5 = 70% to 89%, 6 = 90% to 100%. The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The sum of the scores for each body region gives the total EASI score, which ranges from 0 to 72, with higher scores indicating greater disease severity. | Baseline and days 15, 29, 43, 57, 85, and 113 |
| Part B: Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale from 0 (none) to 3 (severe). The percent affected area for each of the 4 body areas is assessed on a 6-point scale from 0 (0%) to 6 (90% to 100%). The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The total EASI score is the sum of the scores for each body region, and ranges from 0 to 72, with higher scores indicating greater disease severity. Percent change from baseline = [(Post-baseline Value - Baseline Value) / Baseline Value] x 100. A negative change from baseline indicates improvement. | Baseline and days 15, 29, 43, 57, 85, and 113 |
| Part B: Change From Baseline in Investigator's Global Assessment (IGA) | IGA score is a static 6-point measure of disease activity based on an overall assessment of skin lesions. The IGA was scored on a scale of 0 to 5, where 0 (clear) = no inflammatory signs of AD;
A negative change from baseline indicates improvement. | Baseline and days 15, 29, 43, 57, 85, and 113 |
| Ineligibility Determined |
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| Withdrawal by Subject |
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| BG002 | Part A: Tezepelumab 21 mg SC | Healthy participants received a single dose of 21 mg tezepelumab administered subcutaneously. |
| BG003 | Part A: Tezepelumab 70 mg SC | Healthy participants received a single dose of 70 mg tezepelumab administered subcutaneously. |
| BG004 | Part A: Tezepelumab 210 mg SC | Healthy participants received a single dose of 210 mg tezepelumab administered subcutaneously. |
| BG005 | Part A: Tezepelumab 420 mg SC | Healthy participants received a single dose of 420 mg tezepelumab administered subcutaneously. |
| BG006 | Part A: Tezepelumab 210 mg IV | Healthy participants received a single dose of 210 mg tezepelumab administered intravenously. |
| BG007 | Part A: Tezepelumab 700 mg IV | Healthy participants received a single dose of 700 mg tezepelumab administered intravenously. |
| BG008 | Part A: Placebo | Healthy participants received a single dose of placebo to tezepelumab administered subcutaneously or intravenously. |
| BG009 | Part B: Tezepelumab 700 mg IV | Participants with atopic dermatitis received a single dose of 700 mg tezepelumab administered intravenously. |
| BG010 | Part B: Placebo IV | Participants with atopic dermatitis received a single dose of placebo to tezepelumab administered intravenously. |
| BG011 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| ID | Title | Description |
|---|---|---|
| OG000 | Part A: Tezepelumab 2.1 mg SC | Healthy participants received a single dose of 2.1 mg tezepelumab administered subcutaneously (SC). |
| OG001 | Part A: Tezepelumab 7 mg SC | Healthy participants received a single dose of 7 mg tezepelumab administered subcutaneously. |
| OG002 | Part A: Tezepelumab 21 mg SC | Healthy participants received a single dose of 21 mg tezepelumab administered subcutaneously. |
| OG003 | Part A: Tezepelumab 70 mg SC | Healthy participants received a single dose of 70 mg tezepelumab administered subcutaneously. |
| OG004 | Part A: Tezepelumab 210 mg SC | Healthy participants received a single dose of 210 mg tezepelumab administered subcutaneously. |
| OG005 | Part A: Tezepelumab 420 mg SC | Healthy participants received a single dose of 420 mg tezepelumab administered subcutaneously. |
| OG006 | Part A: Tezepelumab 210 mg IV | Healthy participants received a single dose of 210 mg tezepelumab administered intravenously. |
| OG007 | Part A: Tezepelumab 700 mg IV | Healthy participants received a single dose of 700 mg tezepelumab administered intravenously. |
| OG008 | Part A: Placebo SC | Healthy participants received a single dose of placebo to tezepelumab administered subcutaneously. |
| OG009 | Part A: Placebo IV | Healthy participants received a single dose of placebo to tezepelumab administered intravenously. |
| OG010 | Part B: Tezepelumab 700 mg IV | Participants with atopic dermatitis received a single dose of 700 mg tezepelumab administered intravenously. |
| OG011 | Part B: Placebo IV | Participants with atopic dermatitis received a single dose of placebo to tezepelumab administered intravenously. |
|
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| Secondary | Part A: Time of Maximum Observed Concentration (Tmax) of Tezepelumab | The time at which the maximum concentration of tezepelumab was observed was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part A who received tezepelumab and had a sufficient number of serum concentration measurements for computing the pharmacokinetic (PK) parameter. | Posted | Median | Full Range | hours | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
|
|
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| Primary | Number of Participants Who Developed Anti-tezepelumab Antibodies | All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported. | All participants who received at least 1 dose of study drug with a postbaseline result. | Posted | Count of Participants | Participants | Blood samples for the measurement of antibodies were collected on Days 29, 57, 85, and (for cohorts who received 420 mg Tezepelumab/placebo SC or any IV dose) 113. |
|
|
|
| Secondary | Part A: Maximum Observed Concentration (Cmax) of Tezepelumab | The maximum observed serum concentration of tezepelumab was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated enzyme-linked immunosorbent assay (ELISA). The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part A who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | μg/mL | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
|
|
|
| Secondary | Part A: Area Under the Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Tezepelumab | The PK parameter AUC0-t was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part A who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | day*μg/mL | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
|
|
|
| Secondary | Part A: Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUCinf) of Tezepelumab | The PK parameter AUCinf was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part A who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | day*μg/mL | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
|
|
|
| Secondary | Part A: Elimination Half-life (t1/2) of Tezepelumab | Elimination half-life was estimated based on the serum concentrations of tezepelumab using noncompartmental methods based on the terminal phase of the concentration-time profile. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part A who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | days | Day 1 predose, 0.25, 0.5, and 1 hour after start of infusion (for IV cohorts only), 4, 8, 24, 48, 72 hours postdose and days 5, 6, 7, 11, 15, 22, 29, 43, 57, 71, 85, and (for cohorts who received 420 mg tezepelumab SC or any IV dose) 113. |
|
|
|
| Secondary | Part B: Time of Maximum Observed Concentration (Tmax) of Tezepelumab | Tmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part B who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Median | Full Range | hours | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
|
|
|
| Secondary | Part B: Maximum Observed Concentration (Cmax) of Tezepelumab | Cmax was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part B who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | μg/mL | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
|
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| Secondary | Part B: Area Under the Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of Tezepelumab | The PK parameter AUC0-t was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part B who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | day*μg/mL | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
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| Secondary | Part B: Area Under the Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUCinf) of Tezepelumab | The PK parameter AUCinf was estimated based on the serum concentrations of tezepelumab using noncompartmental methods and the linear/log trapezoidal method. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part B who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | day*μg/mL | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
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| Secondary | Part B: Elimination Half-life (t1/2) of Tezepelumab | Elimination half-life was estimated based on the serum concentrations of tezepelumab using noncompartmental methods based on the terminal phase of the concentration-time profile. The concentration of tezepelumab in human serum was measured using a validated ELISA. The lower limit of quantification of the assay was 10 ng/mL. | Participants in Part B who received tezepelumab and had a sufficient number of serum concentration measurements for computing the PK parameter. | Posted | Mean | Standard Deviation | days | Day 1 predose, 0.25, 0.5, 1, 4, 8, 72 hours postdose and days, 7, 15, 22, 29, 43, 57, 71, 85, and 113. |
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| Secondary | Part B: Percentage of Participants Achieving at Least a 50% Reduction From Baseline in Eczema Area and Severity Index (EASI 50) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the average intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The percent of affected area for each of the 4 body areas is also assessed using the following 6-point scale: 0 = 0%, 1 = < 10%, 2 =10% to 29%, 3 = 30% to 49%, 4 = 50% to 69%, 5 = 70% to 89%, 6 = 90% to 100%. The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The sum of the scores for each body region gives the total EASI score, which ranges from 0 to 72, with higher scores indicating greater disease severity. | All participants in Part B who received at least 1 dose of study drug and with available data at each time point. | Posted | Number | percentage of participants | Baseline and days 15, 29, 43, 57, 85, and 113 |
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| Secondary | Part B: Percentage of Participants Achieving at Least a 75% Reduction From Baseline in Eczema Area and Severity Index (EASI 75) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the average intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe. The percent of affected area for each of the 4 body areas is also assessed using the following 6-point scale: 0 = 0%, 1 = < 10%, 2 =10% to 29%, 3 = 30% to 49%, 4 = 50% to 69%, 5 = 70% to 89%, 6 = 90% to 100%. The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The sum of the scores for each body region gives the total EASI score, which ranges from 0 to 72, with higher scores indicating greater disease severity. | All participants in Part B who received at least 1 dose of study drug and with available data at each time point. | Posted | Number | percentage of participants | Baseline and days 15, 29, 43, 57, 85, and 113 |
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| Secondary | Part B: Percent Change From Baseline in Eczema Area and Severity Index (EASI) Score | EASI is a tool used to measure the severity of AD. The index involves an assessment of the intensity of 4 clinical signs (erythema, infiltration/papulation, excoriations, and lichenification) at 4 body areas (head/neck, upper extremities, trunk, lower extremities) assessed on a scale from 0 (none) to 3 (severe). The percent affected area for each of the 4 body areas is assessed on a 6-point scale from 0 (0%) to 6 (90% to 100%). The total score for each body region is obtained by multiplying the sum of the severity scores of the 4 clinical signs by the area score, with adjustment for the proportion of the body region to the whole body. The total EASI score is the sum of the scores for each body region, and ranges from 0 to 72, with higher scores indicating greater disease severity. Percent change from baseline = [(Post-baseline Value - Baseline Value) / Baseline Value] x 100. A negative change from baseline indicates improvement. | All participants in Part B who received at least 1 dose of study drug and with available data at each time point. | Posted | Mean | Standard Deviation | percent change | Baseline and days 15, 29, 43, 57, 85, and 113 |
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| Secondary | Part B: Change From Baseline in Investigator's Global Assessment (IGA) | IGA score is a static 6-point measure of disease activity based on an overall assessment of skin lesions. The IGA was scored on a scale of 0 to 5, where 0 (clear) = no inflammatory signs of AD;
A negative change from baseline indicates improvement. | All participants in Part B who received at least 1 dose of study drug and with available data at each time point. | Posted | Mean | Standard Deviation | scores on a scale | Baseline and days 15, 29, 43, 57, 85, and 113 |
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| 0 |
| 6 |
| 3 |
| 6 |
| EG001 | Part A: Tezepelumab 7 mg SC | Healthy participants received a single dose of 7 mg tezepelumab administered subcutaneously. | 0 | 6 | 5 | 6 |
| EG002 | Part A: Tezepelumab 21 mg SC | Healthy participants received a single dose of 21 mg tezepelumab administered subcutaneously. | 0 | 6 | 1 | 6 |
| EG003 | Part A: Tezepelumab 70 mg SC | Healthy participants received a single dose of 70 mg tezepelumab administered subcutaneously. | 0 | 6 | 6 | 6 |
| EG004 | Part A: Tezepelumab 210 mg SC | Healthy participants received a single dose of 210 mg tezepelumab administered subcutaneously. | 0 | 6 | 2 | 6 |
| EG005 | Part A: Tezepelumab 420 mg SC | Healthy participants received a single dose of 420 mg tezepelumab administered subcutaneously. | 0 | 6 | 3 | 6 |
| EG006 | Part A: Tezepelumab 210 mg IV | Healthy participants received a single dose of 210 mg tezepelumab administered intravenously. | 0 | 6 | 4 | 6 |
| EG007 | Part A: Tezepelumab 700 mg IV | Healthy participants received a single dose of 700 mg tezepelumab administered intravenously. | 0 | 6 | 5 | 6 |
| EG008 | Part A: Placebo SC | Healthy participants received a single dose of placebo to tezepelumab administered subcutaneously. | 0 | 12 | 8 | 12 |
| EG009 | Part A: Placebo IV | Healthy participants received a single dose of placebo to tezepelumab administered intravenously. | 0 | 4 | 3 | 4 |
| EG010 | Part B: Tezepelumab 700 mg IV | Participants with atopic dermatitis received a single dose of 700 mg tezepelumab administered intravenously. | 0 | 9 | 7 | 9 |
| EG011 | Part B: Placebo IV | Participants with atopic dermatitis received a single dose of placebo to tezepelumab administered intravenously. | 1 | 3 | 3 | 3 |
| PROCEDURAL PAIN | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| CONJUNCTIVITIS | Eye disorders | MedDRA 12.1 | Systematic Assessment |
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| KERATITIS | Eye disorders | MedDRA 12.1 | Systematic Assessment |
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| ABDOMINAL DISTENSION | Gastrointestinal disorders | MedDRA 12.1 | Systematic Assessment |
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| DYSPEPSIA | Gastrointestinal disorders | MedDRA 12.1 | Systematic Assessment |
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| GASTRITIS | Gastrointestinal disorders | MedDRA 12.1 | Systematic Assessment |
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| LIP DRY | Gastrointestinal disorders | MedDRA 12.1 | Systematic Assessment |
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| NAUSEA | Gastrointestinal disorders | MedDRA 12.1 | Systematic Assessment |
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| APPLICATION SITE URTICARIA | General disorders | MedDRA 12.1 | Systematic Assessment |
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| ASTHENIA | General disorders | MedDRA 12.1 | Systematic Assessment |
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| FATIGUE | General disorders | MedDRA 12.1 | Systematic Assessment |
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| INJECTION SITE HAEMORRHAGE | General disorders | MedDRA 12.1 | Systematic Assessment |
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| MALAISE | General disorders | MedDRA 12.1 | Systematic Assessment |
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| PYREXIA | General disorders | MedDRA 12.1 | Systematic Assessment |
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| HYPERSENSITIVITY | Immune system disorders | MedDRA 12.1 | Systematic Assessment |
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| SEASONAL ALLERGY | Immune system disorders | MedDRA 12.1 | Systematic Assessment |
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| FOLLICULITIS | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| HAEMATOMA INFECTION | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| LOWER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| NASOPHARYNGITIS | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| PHARYNGITIS | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| TINEA CRURIS | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| UPPER RESPIRATORY TRACT INFECTION | Infections and infestations | MedDRA 12.1 | Systematic Assessment |
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| ANIMAL BITE | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| INJURY | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| JOINT INJURY | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| JOINT SPRAIN | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| MUSCLE STRAIN | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| PERIORBITAL HAEMATOMA | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| POST PROCEDURAL COMPLICATION | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| PROCEDURAL PAIN | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| ROAD TRAFFIC ACCIDENT | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| SKIN LACERATION | Injury, poisoning and procedural complications | MedDRA 12.1 | Systematic Assessment |
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| HEPATIC ENZYME ABNORMAL | Investigations | MedDRA 12.1 | Systematic Assessment |
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| BACK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| FLANK PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| JOINT STIFFNESS | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| MUSCULOSKELETAL CHEST PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| MUSCULOSKELETAL PAIN | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| MYALGIA | Musculoskeletal and connective tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| DIZZINESS | Nervous system disorders | MedDRA 12.1 | Systematic Assessment |
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| DYSGEUSIA | Nervous system disorders | MedDRA 12.1 | Systematic Assessment |
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| HEADACHE | Nervous system disorders | MedDRA 12.1 | Systematic Assessment |
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| SYNCOPE | Nervous system disorders | MedDRA 12.1 | Systematic Assessment |
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| ANXIETY | Psychiatric disorders | MedDRA 12.1 | Systematic Assessment |
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| DEPRESSION | Psychiatric disorders | MedDRA 12.1 | Systematic Assessment |
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| INSOMNIA | Psychiatric disorders | MedDRA 12.1 | Systematic Assessment |
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| LIBIDO DECREASED | Psychiatric disorders | MedDRA 12.1 | Systematic Assessment |
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| DYSURIA | Renal and urinary disorders | MedDRA 12.1 | Systematic Assessment |
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| HAEMATURIA | Renal and urinary disorders | MedDRA 12.1 | Systematic Assessment |
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| DYSMENORRHOEA | Reproductive system and breast disorders | MedDRA 12.1 | Systematic Assessment |
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| ASTHMA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| COUGH | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| NASAL CONGESTION | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| RHINITIS ALLERGIC | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| RHINORRHOEA | Respiratory, thoracic and mediastinal disorders | MedDRA 12.1 | Systematic Assessment |
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| DERMATITIS ATOPIC | Skin and subcutaneous tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| DERMATITIS CONTACT | Skin and subcutaneous tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| ECZEMA | Skin and subcutaneous tissue disorders | MedDRA 12.1 | Systematic Assessment |
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| FLUSHING | Vascular disorders | MedDRA 12.1 | Systematic Assessment |
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The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
| D017437 | Skin and Connective Tissue Diseases |
| D017443 | Skin Diseases, Eczematous |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| Anti-tezepelumab neutralizing antibodies |
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| Day 29 |
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| Day 43 |
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| Day 57 |
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| Day 85 |
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| Day 113 |
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| At any postdose time point |
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| Day 29 |
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| Day 43 |
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| Day 57 |
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| Day 85 |
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| Day 113 |
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| At any postdose time point |
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| Day 29 |
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| Day 43 |
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| Day 57 |
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| Day 85 |
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| Day 113 |
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| Day 29 |
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| Day 43 |
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| Day 57 |
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| Day 85 |
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| Day 113 |
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