Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This two-part study was designed to evaluate the pharmacokinetics (PK) of single and multiple doses of apremilast in healthy adult Korean males.
The study will consist of two parts. Part 1 will evaluate the PK of ascending single doses of apremilast. Part 2 will evaluate the PK of apremilast when administered as multiple doses over 14 days.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: Apremilast 20 mg | Experimental | A single oral dose of 20 mg apremilast. |
|
| Part 1: Apremilast 30 mg | Experimental | A single oral dose of 30 mg apremilast. |
|
| Part 1: Apremilast 40 mg | Experimental | A single oral dose of 40 mg apremilast. |
|
| Part 2: Apremilast 30 mg BID | Experimental | 30 mg apremilast orally twice a day (BID) for 14 days. |
|
| Part 2: Placebo | Placebo Comparator | Matching placebo orally twice a day for 14 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Apremilast | Drug | Tablet for oral administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1: Maximum Observed Plasma Concentration (Cmax) of Apremilast | Concentrations of apremilast in plasma were measured using a validated liquid chromatography tandem mass spectrometry assay. | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
| Part 1: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. | |
| Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to the Last Measured Time Point (AUC0-t) for Apremilast | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. | |
| Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) for Apremilast | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. | |
| Part 1: Terminal Elimination Half-life (T1/2) for Apremilast | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. | |
| Part 1: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. | |
| Part 1: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-emergent Adverse Events (AEs) | Part 1, up to 40 days; Part 2, up to 24 days |
Not provided
Inclusion Criteria:
- Subjects must satisfy the following criteria to be enrolled in the study:
Healthy adult male Korean subjects between 18 and 45 years of age (inclusive) at the time of signing the informed consent form (ICF).
Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted.
Subject is willing and able to adhere to the study visit schedule and other protocol requirements.
Must be able to communicate with the Investigator and understand and comply with the requirements of the study.
Must be in good health as determined by the Investigator according to past medical history, physical examination (PE), vital signs, 12-lead electrocardiogram (ECG), and laboratory tests.
Must have a body mass index (BMI) between 18 and 30 kg/m^2 (inclusive).
Clinical laboratory tests must be within normal limits or considered by the Investigator to be not clinically significant.
Vital signs (systolic and diastolic blood pressure, pulse rate, and oral [or tympanic] body temperature) will be assessed in the supine position after the subject has rested for at least five minutes. Subject must be afebrile (febrile [oral or tympanic] is defined as ≥ 38°C or 100.3°F) with vital signs within the following ranges:
Must have a normal or clinically acceptable 12-lead ECG. Subjects must have a QTc value ≤ 450 msec.
Must have a normal or clinically acceptable physical examination.
Contraception Requirements:
- Male subjects (including those who have had a vasectomy) who engage in activity in which conception is possible must use barrier contraception (latex or non-latex condoms NOT made out of natural [animal] membrane [for example, polyurethane]) while on Investigational Product (IP) and for at least 28 days after the last dose of investigational product (IP).
Must agree to refrain from donating sperm, blood or plasma (other than for this study) while participating in this study, and for at least 28 days after the last dose of IP.
Exclusion Criteria:
The presence of any of the following will exclude any healthy subject from enrollment into the study:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| MD | Amgen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 03080 | South Korea |
Not provided
| Label | URL |
|---|---|
| Expanded Access for CC-10004 | View source |
Not provided
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
In Part 1 participants were randomized to 1 of 3 treatment sequences consisting of 3 treatment periods.
In Part 2 participants were randomized in a 3:1 ratio to receive apremilast or matching placebo twice a day (BID) for 14 days.
This was a two-part study in healthy Korean men. The study was conducted at 1 clinic in Korea.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Part 1: Apremilast 20 mg / 30 mg / 40 mg | Participants received a single oral dose of 20 mg apremilast on day 1 of period 1, a single oral dose of 30 mg apremilast on day 1 of period 2, and a single oral dose of 40 mg apremilast on day 1 of period 3. There was a 7-10 day washout period between each dose. |
| FG001 | Part 1: Apremilast 30 mg / 20 mg / 40 mg | Participants received a single oral dose of 30 mg apremilast on day 1 of period 1, a single oral dose of 20 mg apremilast on day 1 of period 2, and a single oral dose of 40 mg apremilast on day 1 of period 3. There was a 7-10 day washout period between each dose. |
| FG002 | Part 1: Apremilast 40 mg / 20 mg / 30 mg | Participants received a single oral dose of 40 mg apremilast on day 1 of period 1, a single oral dose of 20 mg apremilast on day 1 of period 2, and a single oral dose of 30 mg apremilast on day 1 of period 3. There was a 7-10 day washout period between each dose. |
| FG003 | Part 2: Apremilast 30 mg BID | Participants received 30 mg apremilast orally twice a day for 14 days. |
| FG004 | Part 2: Placebo BID | Participants received matching placebo orally twice a day for 14 days. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All enrolled participants
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: Apremilast | Participants received a single oral dose of 20 mg apremilast, 30 mg apremilast, and 40 mg apremilast across 3 treatment periods separated by a washout period of 7-10 days. |
| BG001 | Part 2: Apremilast 30 mg BID |
| 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 | Part 1: Maximum Observed Plasma Concentration (Cmax) of Apremilast | Concentrations of apremilast in plasma were measured using a validated liquid chromatography tandem mass spectrometry assay. | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
Part 1, up to 40 days; Part 2, up to 24 days
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: Apremilast 20 mg | Participants received a single oral dose of 20 mg apremilast. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Amgen Inc. | 866-572-6436 | medinfo@amgen.com |
Not provided
| ID | Term |
|---|---|
| C505730 | apremilast |
Not provided
Not provided
Not provided
Part 1 of the study was a 3-treatment period, 3-sequence crossover study. Part 2 was a parallel-group, placebo-controlled, single-period study.
Not provided
Not provided
Part 1 was a randomized open-label crossover study. Part 2 was a randomized, double-blind study.
Not provided
|
| Placebo | Drug | Tablet for oral administration |
|
| Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
| Part 2: Area Under the Plasma Concentration-time Curve During a Dosage Interval (AUCÏ„) for Apremilast | Area under the plasma concentration-time curve during a dosage interval (tau) at steady state, where tau is 12 hours. | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
| Part 2: Maximum Observed Plasma Concentration (Cmax) of Apremilast | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
| Part 2: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
| Part 2: Terminal Elimination Half-life (T1/2) for Apremilast | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
| Part 2: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
| Part 2: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
| Part 2: Ratio of Accumulation | Ratio of accumulation calculated as Day 14 AUC0-Ï„ / Day 1 AUC0-Ï„ | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose, and on day 14 only at 24, 36, 48, 60, and 72 hours after the morning dose |
Participants received 30 mg apremilast orally twice a day for 14 days.
| BG002 | Part 2: Placebo BID | Participants received matching placebo orally twice a day for 14 days. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
Participants received a single oral dose of 30 mg apremilast.
| OG002 | Part 1: Apremilast 40 mg | Participants received a single oral dose of 40 mg apremilast. |
|
|
| Primary | Part 1: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Median | Full Range | hours | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to the Last Measured Time Point (AUC0-t) for Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 1: Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) for Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 1: Terminal Elimination Half-life (T1/2) for Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 1: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters/hour | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 1: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Day 1 of each treatment period at predose (0 hour) and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours post-dose. |
|
|
|
| Primary | Part 2: Area Under the Plasma Concentration-time Curve During a Dosage Interval (AUCÏ„) for Apremilast | Area under the plasma concentration-time curve during a dosage interval (tau) at steady state, where tau is 12 hours. | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
|
|
|
| Primary | Part 2: Maximum Observed Plasma Concentration (Cmax) of Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
|
|
|
| Primary | Part 2: Time to Maximum Observed Plasma Concentration (Tmax) of Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Median | Full Range | hours | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose |
|
|
|
| Primary | Part 2: Terminal Elimination Half-life (T1/2) for Apremilast | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
|
|
|
| Primary | Part 2: Apparent Clearance of Apremilast From Plasma After Extravascular Administration (CL/F) | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters/hour | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
|
|
|
| Primary | Part 2: Apparent Volume of Distribution of Apremilast During the Terminal Phase (Vz/F) | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | liters | Day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 60, and 72 hours after the morning dose |
|
|
|
| Primary | Part 2: Ratio of Accumulation | Ratio of accumulation calculated as Day 14 AUC0-Ï„ / Day 1 AUC0-Ï„ | Participants who received at least 1 dose of apremilast and had at least 1 measurable concentration datum. | Posted | Geometric Mean | Geometric Coefficient of Variation | ratio | Day 1 and day 14 prior to the morning dose (0 hour), and at 0.5, 1, 1.5, 2, 3, 5, 8, and 12 hours after the morning dose, and on day 14 only at 24, 36, 48, 60, and 72 hours after the morning dose |
|
|
|
| Secondary | Number of Participants With Treatment-emergent Adverse Events (AEs) | Participants who received at least 1 dose of apremilast. | Posted | Count of Participants | Participants | Part 1, up to 40 days; Part 2, up to 24 days |
|
|
|
| 0 |
| 11 |
| 2 |
| 11 |
| EG001 | Part 1: Apremilast 30 mg | Participants received a single oral dose of 30 mg apremilast. | 0 | 12 | 1 | 12 |
| EG002 | Part 1: Apremilast 40 mg | Participants received a single oral dose of 40 mg apremilast. | 0 | 12 | 3 | 12 |
| EG003 | Part 1: Total | Participants received a single oral dose of 20 mg apremilast, 30 mg apremilast, and 40 mg apremilast across 3 treatment periods separated by a washout period of 7-10 days. | 0 | 12 | 4 | 12 |
| EG004 | Part 2: Apremilast 30 mg BID | Participants received 30 mg apremilast orally twice a day for 14 days. | 0 | 12 | 7 | 12 |
| EG005 | Part 2: Placebo BID | Participants received matching placebo orally twice a day for 14 days. | 0 | 4 | 3 | 4 |
| EG006 | Part 2: Total | Participants who received 30 mg apremilast or placebo twice a day for 14 days | 0 | 16 | 10 | 16 |
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA 19.0 | Systematic Assessment |
|
| Skin abrasion | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA 19.0 | Systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Rash papular | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA 19.0 | 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.
| TEAE related to study drug |
|
| Serious adverse events |
|
| Serious adverse events related o study dug |
|
| TEAE leading to discontinuation |
|
| Treatment-related TEAE leading to discontinuation |
|
| Deaths |
|