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This is a phase 1, multi-center, open-label, drug-drug interaction (DDI) and PK study in subjects with moderate to severe plaque psoriasis. It is designed to evaluate the effect of brodalumab on midazolam PK in addition to assessing single dose PK of brodalumab in subjects with moderate to severe plaque psoriasis.
Approximately 30 subjects will be enrolled into two groups. Group 1 consists of 20 subjects and will receive 2 oral doses of midazolam and a single subcutaneous (SC) dose of brodalumab. Group 2 consists of 10 subjects and will receive a single SC dose of brodalumab.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brodalumab 140mg SC | Experimental | open label, all subjects receive brodulamab |
|
| Midazolam (MDZ) 2mg oral, Brodalumab 210mg SC | Experimental | MDZ 2mg oral (Day 1 and Day 9), Brodalumab 210mg SC (Day 2) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brodalumab | Drug | Group 1 consists of 20 subjects and will receive 2 oral doses of midazolam and a single SC dose of brodalumab. Group 2 consists of 10 subjects and will receive a single SC dose of brodalumab. |
| Measure | Description | Time Frame |
|---|---|---|
| The Maximum Observed Concentration of Midazolam After a Single Dose of Brodalumab | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on Day 30 | Day 1 to day 9 |
| The Area Under Drug Concentration Time Curve From Zero to Infinity (AUCinf) | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on day 30 | Day 1 to Day 9 |
| The Area Under the Drug-concentration Curve of Midazolam After a Single Dose of Brodalumab From Zero Tot he Last Time of Quantifiable Concentration | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 | Day 1 to Day 9 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Anaheim | California | 92801 | United States | ||
| Research Site |
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| Label | URL |
|---|---|
| AmgenTrials clinical trials website | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1 | Midazolam (MDZ) 2mg Oral (Day 1 and Day 9) Brodalumab 210 mg SC (Day 2) |
| FG001 | Cohort 2 | Brodalumab 140 mg SC (Day 1) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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|
| Irvine |
| California |
| 92697 |
| United States |
| Research Site | Ocala | Florida | 34471 | United States |
| Research Site | Austin | Texas | 78759 | United States |
| Research Site | Dallas | Texas | 75231 | United States |
| Research Site | Herston | Queensland | 4006 | Australia |
| Research Site | Adelaide | South Australia | 5000 | Australia |
| Research Site | Prahran | Victoria | 3181 | Australia |
| Research Site | Christchurch | 8011 | New Zealand |
| Research Site | Grafton, Auckland | 1010 | New Zealand |
| COMPLETED |
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| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1 | Midazolam (MDZ) 2mg oral (Day 1 and Day 9) Brodalumab 210mg SC (Day 2) |
| BG001 | Cohort 2 | Brodalumab 140mg SC (Day1) |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| 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 | The Maximum Observed Concentration of Midazolam After a Single Dose of Brodalumab | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on Day 30 | Analysis population is now 20 subjects after 1 subject was discontinued by sponsor decision | Posted | Mean | Standard Deviation | nanograms per milliliter | Day 1 to day 9 |
|
|
| |||||||||||||||||||||||||
| Primary | The Area Under Drug Concentration Time Curve From Zero to Infinity (AUCinf) | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 with PK sampling collected on day 30 | 20 subjects analyzed after the discontinuation of 1 subject by sponsor decision | Posted | Mean | Standard Deviation | hr*ng/mL | Day 1 to Day 9 |
|
| ||||||||||||||||||||||||||
| Primary | The Area Under the Drug-concentration Curve of Midazolam After a Single Dose of Brodalumab From Zero Tot he Last Time of Quantifiable Concentration | Midazolam pharmacokinetic parameter estimates after single oral dose of Midazolam 2 mg on Day 1 and Day 9 and a single administration of Brodalumab 210 mg on Day 2 | 20 subjects are now analyzed after the discontinuation of 1 subject by sponsor decision | Posted | Mean | Standard Deviation | hr*ng/mL | Day 1 to Day 9 |
|
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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 | Cohort 1 | Midazolam (MDZ) 2mg oral (Day 1 and Day 9) Brodalumab 210mg SC (Day 2) | 0 | 20 | 13 | 20 | ||
| EG001 | Cohort 2 | Brodalumab 140mg SC (Day1) | 0 | 10 | 5 | 10 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Crohn's Disease | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Injection Site reaction | General disorders | Non-systematic Assessment |
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| Abdominal Discomfort | Gastrointestinal disorders | Non-systematic Assessment |
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| Abdominal Pain | Gastrointestinal disorders | Non-systematic Assessment |
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| Pyrexia | General disorders | Non-systematic Assessment |
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| Muscle Strain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Dysgeusia | Nervous system disorders | Non-systematic Assessment |
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| Somnolence | Nervous system disorders | Non-systematic Assessment |
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| presyncope | Nervous system disorders | Non-systematic Assessment |
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| headache | Nervous system disorders | Non-systematic Assessment |
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| Catheter Site Pain | General disorders | Non-systematic Assessment |
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| Fatigue | General disorders | Non-systematic Assessment |
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| Infected Bites | General disorders | Non-systematic Assessment |
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| Upper Respiratory Tract Infection | General disorders | Non-systematic Assessment |
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| Anaemia | Blood and lymphatic system disorders | Non-systematic Assessment |
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| Palpatations | Cardiac disorders | Non-systematic Assessment |
| ||
| Ear Congestion | Ear and labyrinth disorders | Non-systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Clinical Trials | Valeant Pharmaceuticals | 908 | binu.alexander@valeant.com |
| ID | Term |
|---|---|
| D011565 | Psoriasis |
| ID | Term |
|---|---|
| D017444 | Skin Diseases, Papulosquamous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C571216 | brodalumab |
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| >=65 years |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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