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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Participants received placebo to tezepelumab administered by intravenous infusion on study days 1, 29, and 57. |
|
| Tezepelumab 700 mg | Experimental | Participants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo | Drug | Administered in a 1-hour intravenous infusion |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Percentage Decrease in Forced Expiratory Volume in 1 Second (FEV1) at 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction (measured by a fall in FEV1). FEV1 was measured prior to the challenge and between 3 to 7 hours post allergen challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The maximum percent decrease in FEV1 from pre-allergen challenge is the percent change in FEV1 representing the largest percentage decrease (or minimum percentage increase) from pre-allergen challenge FEV1 during late (3-7 hour) asthmatic response time frame. | Days 42 and 84 at pre-allergen challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post allergen challenge |
| 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 | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The area under the curve for the percent change at each time point was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Days 42 and 84 at pre-challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post challenge |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events | A serious adverse event is defined as an adverse event that meets at least 1 of the following serious criteria:
|
Not provided
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Calgary | Alberta | T2N 4Z6 | Canada | ||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24846652 | Derived | Gauvreau GM, O'Byrne PM, Boulet LP, Wang Y, Cockcroft D, Bigler J, FitzGerald JM, Boedigheimer M, Davis BE, Dias C, Gorski KS, Smith L, Bautista E, Comeau MR, Leigh R, Parnes JR. Effects of an anti-TSLP antibody on allergen-induced asthmatic responses. N Engl J Med. 2014 May 29;370(22):2102-10. doi: 10.1056/NEJMoa1402895. Epub 2014 May 20. |
| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
Not provided
Participants were randomly assigned in a 1:1 ratio to receive tezepelumab or placebo.
This proof-of-concept, randomized, double-blind, placebo-controlled study was conducted at 5 centers in Canada.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Participants received placebo administered by intravenous infusion on study days 1, 29, and 57. |
| FG001 | Tezepelumab 700 mg | Participants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Participants who received at least one dose of study drug.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Participants received placebo administered by intravenous infusion on study days 1, 29, and 57. |
| BG001 | Tezepelumab 700 mg | Participants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57. |
| 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 | Maximum Percentage Decrease in Forced Expiratory Volume in 1 Second (FEV1) at 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction (measured by a fall in FEV1). FEV1 was measured prior to the challenge and between 3 to 7 hours post allergen challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The maximum percent decrease in FEV1 from pre-allergen challenge is the percent change in FEV1 representing the largest percentage decrease (or minimum percentage increase) from pre-allergen challenge FEV1 during late (3-7 hour) asthmatic response time frame. | Participants who received at least 1 dose of study drug with available data on each day. | Posted | Mean | Standard Deviation | percent change | Days 42 and 84 at pre-allergen challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post allergen challenge |
|
169 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 | Placebo | Participants received placebo administered by intravenous infusion on study days 1, 29, and 57. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 16 | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Amgen Inc. | 866-572-6436 | medinfo@amgen.com |
Not provided
| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
Not provided
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| ID | Term |
|---|---|
| C000622721 | tezepelumab |
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| Tezepelumab |
| Biological |
Administered in a 1-hour intravenous infusion |
|
|
| Up to 169 days |
| Number of Participants With Grade ≥ 3 Laboratory Values | Laboratory toxicities were graded according to the Common Terminology Criteria for Adverse Events (Version 4) on a scale from grade 1 (mild) to 5 (death). | Up to 169 days |
| Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment | 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. | Days 29, 57, 85, 113, and 169 |
| Maximum Percentage Decrease in FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The maximum percent decrease in FEV1 from pre-allergen challenge is the percent change in FEV1 representing the largest percentage decrease (or minimum percentage increase) from pre-allergen challenge FEV1 during early (0-2 hour) asthmatic response time frame. | Days 42 and 84 at pre-allergen challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post allergen challenge |
| Time-Adjusted AUC for the Percent Decrease From Pre-Allergen Challenge in FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The percent change in FEV1 from pre-allergen challenge was calculated to each time point between 0 to 2 hours post challenge. The area under the curve for the percent change at each time point was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Days 42 and 84 at pre-challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post challenge |
| Minimum FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The minimum FEV1 post onset of the allergen challenge for EAR is defined as the smallest value of FEV1 measured during 0 to 2 hours post allergen challenge. | Days 42 and 84 at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post allergen challenge |
| Time-Adjusted AUC for FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The area under the curve for the FEV1 between 0 to 2 hours post allergen challenge was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Days 42 and 84 at pre-challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post challenge |
| Minimum FEV1 From 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post challenge to assess late asthmatic response (LAR). The minimum FEV1 post allergen challenge for LAR is defined as the smallest value of FEV1 measured during 3 to 7 hours post allergen challenge. | Days 42 and 84 at 180, 240, 300, 360, and 420 minutes (3-7 hours) post allergen challenge |
| Time-Adjusted AUC for FEV1 From 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post allergen challenge to assess late asthmatic response (LAR). The area under the curve for the FEV1 between 3 to 7 hours post allergen challenge was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Days 42 and 84 at pre-challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post challenge. |
| Maximum Observed Serum Concentration (Cmax) of Tezepelumab | The PK parameter 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. | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Time of Maximum Observed Concentration (Tmax) of Tezepelumab | The PK parameter 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. | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Minimum Observed Serum Concentration (Cmin) of Tezepelumab | The PK parameter Cmin 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. | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Area Under the Concentration-time Curve Over the Dosing Interval (AUCtau) for Tezepelumab | The PK parameter AUCtau was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The dosing interval (tau) was 28 days. 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. | First dose: Day 1 at predose and 1 and 4 hours postdose and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, and 85. |
| Accumulation Ratio Based on AUCtau | Accumulation ratio (AR) based on AUCtau was calculated as AUCtau after last dose / AUCtau after first dose. | First dose: Day 1 at predose and 1 and 4 hours postdose and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, and 85. |
| Accumulation Ratio Based on Cmax | Accumulation ratio based on Cmax calculated as Cmax after last dose / Cmax after first dose. | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) After Last Dose for Tezepelumab | The PK parameter AUCinf 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 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Terminal Half-life (t1/2z) of Tezepelumab After Last Dose | The PK parameter t1/2,z 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 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
| Vancouver |
| British Columbia |
| V5Z 1M9 |
| Canada |
| Research Site | Hamilton | Ontario | L8N 3Z5 | Canada |
| Research Site | Sainte-Foy | Quebec | G1V 4G5 | Canada |
| Research Site | Saskatoon | Saskatchewan | S7N 0W8 | Canada |
| Lost to Follow-up |
|
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Forced Expiratory Volume in 1 Second (FEV1) | Mean | Standard Deviation | liters |
|
| Placebo |
Participants received placebo administered by intravenous infusion on study days 1, 29, and 57. |
| OG001 | Tezepelumab 700 mg | Participants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57. |
|
|
|
| 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 | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The area under the curve for the percent change at each time point was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Participants who received at least 1 dose of study drug and with available AUC data on each day. | Posted | Mean | Standard Deviation | percent change | Days 42 and 84 at pre-challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post challenge |
|
|
|
|
| Secondary | Number of Participants With Adverse Events | A serious adverse event is defined as an adverse event that meets at least 1 of the following serious criteria:
| Participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 169 days |
|
|
|
| Secondary | Number of Participants With Grade ≥ 3 Laboratory Values | Laboratory toxicities were graded according to the Common Terminology Criteria for Adverse Events (Version 4) on a scale from grade 1 (mild) to 5 (death). | Participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Up to 169 days |
|
|
|
| Secondary | Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment | 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. | Participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Days 29, 57, 85, 113, and 169 |
|
|
|
| Secondary | Maximum Percentage Decrease in FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The maximum percent decrease in FEV1 from pre-allergen challenge is the percent change in FEV1 representing the largest percentage decrease (or minimum percentage increase) from pre-allergen challenge FEV1 during early (0-2 hour) asthmatic response time frame. | Participants who received at least 1 dose of study drug with available data on each day. | Posted | Mean | Standard Deviation | percent change | Days 42 and 84 at pre-allergen challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post allergen challenge |
|
|
|
|
| Secondary | Time-Adjusted AUC for the Percent Decrease From Pre-Allergen Challenge in FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The percent change in FEV1 from pre-allergen challenge was calculated to each time point between 0 to 2 hours post challenge. The area under the curve for the percent change at each time point was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Participants who received at least 1 dose of study drug and with available AUC data on each day. | Posted | Mean | Standard Deviation | percent change | Days 42 and 84 at pre-challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post challenge |
|
|
|
|
| Secondary | Minimum FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The minimum FEV1 post onset of the allergen challenge for EAR is defined as the smallest value of FEV1 measured during 0 to 2 hours post allergen challenge. | Participants who received at least 1 dose of study drug with available data on each day. | Posted | Mean | Standard Deviation | liters | Days 42 and 84 at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post allergen challenge |
|
|
|
|
| Secondary | Time-Adjusted AUC for FEV1 From 0 to 2 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 0 to 2 hours post challenge to assess early asthmatic response (EAR). The area under the curve for the FEV1 between 0 to 2 hours post allergen challenge was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Participants who received at least 1 dose of study drug and with available AUC data on each day. | Posted | Mean | Standard Deviation | liters | Days 42 and 84 at pre-challenge and at 10, 20, 30, 45, 60, 90, and 120 minutes (0-2 hours) post challenge |
|
|
|
|
| Secondary | Minimum FEV1 From 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post challenge to assess late asthmatic response (LAR). The minimum FEV1 post allergen challenge for LAR is defined as the smallest value of FEV1 measured during 3 to 7 hours post allergen challenge. | Participants who received at least 1 dose of study drug with available data on each day. | Posted | Mean | Standard Deviation | liters | Days 42 and 84 at 180, 240, 300, 360, and 420 minutes (3-7 hours) post allergen challenge |
|
|
|
|
| Secondary | Time-Adjusted AUC for FEV1 From 3 to 7 Hours Post Allergen Challenge | Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post allergen challenge to assess late asthmatic response (LAR). The area under the curve for the FEV1 between 3 to 7 hours post allergen challenge was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated. | Participants who received at least 1 dose of study drug and with available AUC data on each day. | Posted | Mean | Standard Deviation | liters | Days 42 and 84 at pre-challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post challenge. |
|
|
|
|
| Secondary | Maximum Observed Serum Concentration (Cmax) of Tezepelumab | The PK parameter 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. | The pharmacokinetic (PK) parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Mean | Standard Deviation | μg/mL | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| Secondary | Time of Maximum Observed Concentration (Tmax) of Tezepelumab | The PK parameter 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. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Median | Full Range | hours | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| Secondary | Minimum Observed Serum Concentration (Cmin) of Tezepelumab | The PK parameter Cmin 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. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Mean | Standard Deviation | μg/mL | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| Secondary | Area Under the Concentration-time Curve Over the Dosing Interval (AUCtau) for Tezepelumab | The PK parameter AUCtau was estimated based on the serum concentrations of tezepelumab using noncompartmental methods. The dosing interval (tau) was 28 days. 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. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Mean | Standard Deviation | day*μg/mL | First dose: Day 1 at predose and 1 and 4 hours postdose and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, and 85. |
|
|
|
| Secondary | Accumulation Ratio Based on AUCtau | Accumulation ratio (AR) based on AUCtau was calculated as AUCtau after last dose / AUCtau after first dose. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Mean | Standard Deviation | ratio | First dose: Day 1 at predose and 1 and 4 hours postdose and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, and 85. |
|
|
|
| Secondary | Accumulation Ratio Based on Cmax | Accumulation ratio based on Cmax calculated as Cmax after last dose / Cmax after first dose. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after first dose and after last dose. | Posted | Mean | Standard Deviation | ratio | First dose: Day 1 at predose and 1 and 4 hours postdose, and days 4, 8, 15, and 29 (predose); Last dose: Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| Secondary | Area Under the Concentration-time Curve From Time Zero to Infinity (AUCinf) After Last Dose for Tezepelumab | The PK parameter AUCinf 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. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after last dose. | Posted | Mean | Standard Deviation | day*μg/mL | Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| Secondary | Terminal Half-life (t1/2z) of Tezepelumab After Last Dose | The PK parameter t1/2,z 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. | The PK parameter analysis set includes participants for whom pharmacokinetic parameter estimates could be derived after last dose. | Posted | Mean | Standard Deviation | days | Day 57 predose, 1 and 4 hours postdose, and at days 60, 64, 71, 83, 84, 85, 113, and 169. |
|
|
|
| 0 |
| 15 |
| 12 |
| 15 |
| EG001 | Tezepelumab 700 mg | Participants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57. | 0 | 16 | 15 | 16 |
| Iron deficiency anaemia | Blood and lymphatic system disorders | MedDRA 16 | Systematic Assessment |
|
| Ear discomfort | Ear and labyrinth disorders | MedDRA 16 | Systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA 16 | Systematic Assessment |
|
| Vertigo | Ear and labyrinth disorders | MedDRA 16 | Systematic Assessment |
|
| Eye pruritus | Eye disorders | MedDRA 16 | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA 16 | Systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 16 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 16 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 16 | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA 16 | Systematic Assessment |
|
| Malaise | General disorders | MedDRA 16 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Gastroenteritis viral | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Influenza | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Labyrinthitis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Lower respiratory tract infection | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Respiratory tract infection viral | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Viral upper respiratory tract infection | Infections and infestations | MedDRA 16 | Systematic Assessment |
|
| Contusion | Injury, poisoning and procedural complications | MedDRA 16 | Systematic Assessment |
|
| Ligament rupture | Injury, poisoning and procedural complications | MedDRA 16 | Systematic Assessment |
|
| Limb injury | Injury, poisoning and procedural complications | MedDRA 16 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 16 | Systematic Assessment |
|
| Sensation of heaviness | Musculoskeletal and connective tissue disorders | MedDRA 16 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 16 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 16 | Systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA 16 | Systematic Assessment |
|
| Confusional state | Psychiatric disorders | MedDRA 16 | Systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA 16 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA 16 | Systematic Assessment |
|
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Haemoptysis | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Painful respiration | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Pulmonary congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Sputum discoloured | Respiratory, thoracic and mediastinal disorders | MedDRA 16 | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 16 | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA 16 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA 16 | Systematic Assessment |
|
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.
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| Day 84 |
|
|
| Other |
| Treatment difference in late asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and day -14 value as covariate. | 0.07 | Treatment Difference | -4.66 | 2-Sided | 95 | -9.71 | 0.39 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Leading to discontinuation of study drug |
|
| Leading to discontinuation from study |
|
| Severe adverse events |
|
| Life-threatening adverse events |
|
| Fatal adverse events |
|
| Treatment-related adverse events |
|
| Decreased lymphocytes |
|
| Day 84 |
|
|
| Other |
| Treatment difference in early asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and Day -14 value as covariate. | 0.06 | Treatment Difference | 10.27 | 2-Sided | 95 | -0.46 | 21.00 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Day 84 |
|
|
| Other |
| Treatment difference in early asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and day -14 value as covariate. | 0.03 | Treatment Difference | -7.44 | 2-Sided | 95 | -14.22 | -0.66 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Day 84 |
|
|
| Other |
| Treatment difference in early asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and Day -14 value as covariate. | 0.08 | Treatment Difference | 0.39 | 2-Sided | 95 | -0.06 | 0.84 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Day 84 |
|
|
| Other |
| Treatment difference in early asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and day -14 value as covariate. | 0.06 | Treatment Difference | 0.33 | 2-Sided | 95 | -0.01 | 0.66 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Day 84 |
|
|
| Other |
| Treatment difference in late asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and Day -14 value as covariate. | 0.01 | Treatment Difference | 0.42 | 2-Sided | 95 | 0.11 | 0.72 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
| Day 84 |
|
|
| Other |
| Treatment difference in late asthmatic response at day 84 was evaluated using a repeated-measures ANCOVA that included study treatment and study visit as independent variables, treatment by study visit as an interaction term, and the corresponding baseline value (as measured 14 days before the first dose of a study drug) as a model covariate. | ANCOVA | Model includes treatment, visit, treatment by visit interaction as fixed effects and day -14 value as covariate. | 0.15 | Treatment Difference | 0.18 | 2-Sided | 95 | -0.07 | 0.44 | Treatment difference estimate (tezepelumab minus placebo) is mean estimate based on ANCOVA. | Other |
|
|
|
|