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AMG 073

Phase 4FDA approved 2004

Hyperparathyroidism | Small molecule | Endocrine |Amgen Inc.|Trials Updated: Nov 7, 2022

AMG 073 development status

FDA approval Mar 8, 2004 as Sensipar
Approval holderAmgen
ApplicationNDA021688
Highest phase Phase 4 (NCT00037518)
Phase scored for AMGNPhase 3
Registered trials 30 across 3 sponsors since May 2002

Label indication Sensipar is a positive modulator of the calcium sensing receptor indicated for: Secondary Hyperparathyroidism (HPT) in adult patients with chronic kidney disease (CKD) on dialysis. ( 1.1 ) Limitations of Use: Sensipar is not indicated for use in patients with CKD who are not on dialysis Hypercalcemia in adult patients with Parathyroid Carcinoma (PC). FDA label

AMG 073 target and mechanism

ModalitySmall molecule

Also known as Cinacalcet, Sensipar®, Mimpara®

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials19
Total Enrollment7,769

FDA Designations

No designations recorded

AMG 073 clinical trials

AMG 073 · 19 trials · 18 indications

Phase 3 9Phase 2 9Phase 1 1
NCT02341417Extension Study of Cinacalcet for Treatment of Secondary Hyperparathyroidism (SHPT) in Pediatric Patients With Chronic Kidney Disease on DialysisSecondary Hyperparathyroidism, Chronic Kidney Disease
COMPLETED28 Analytics
NCT00975221Efficacy and Safety Study of Cinacalcet for the Treatment of Hypercalcemia in Patients With Primary Hyperparathyroidism Unable to Undergo ParathyroidectomyHyperparathyroidism, Primary
COMPLETED67 Analytics
NCT00975000Treatment of Autonomous Hyperparathyroidism in Post Renal Transplant RecipientsChronic Allograft Nephropathy
COMPLETED114 Analytics
NCT00345839E.V.O.L.V.E. Trial™: EValuation Of Cinacalcet Hydrochloride (HCl) Therapy to Lower CardioVascular EventsSecondary Hyperparathyroidism
COMPLETED3,883 Analytics
NCT00094484Cinacalcet HCl in Chronic Kidney Disease Subjects With Secondary Hyperparathyroidism Not Receiving DialysisKidney Disease
COMPLETED400 Analytics
NCT00117052SENSOR: Study to Investigate Cinacalcet Treatment in Haemodialysis Patients With Secondary HyperparathyroidismSecondary Hyperparathyroidism
COMPLETED673 Analytics
NCT00042653A Study of an Investigational Medication for the Treatment of Secondary Hyperparathyroidism in Patients on DialysisSecondary Hyperparathyroidism
COMPLETED380 Analytics
NCT00527267Safety and Efficacy Study of AMG 073 in Hemodialysis SubjectsHyperparathyroidism
COMPLETED320 Analytics
NCT00037635A Study of an Investigational Medication for the Treatment of Secondary Hyperparathyroidism in Dialysis PatientsSecondary Hyperparathyroidism
COMPLETED400 Analytics
PHASE3COMPLETED
Extension Study of Cinacalcet for Treatment of Secondary Hyperparathyroidism (SHPT) in Pediatric Patients With Chronic Kidney Disease on Dialysis
Secondary Hyperparathyroidism, Chronic Kidney DiseaseUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Cinacalcet for the Treatment of Hypercalcemia in Patients With Primary Hyperparathyroidism Unable to Undergo Parathyroidectomy
Hyperparathyroidism, PrimaryUnlock trial analytics
PHASE3COMPLETED
Treatment of Autonomous Hyperparathyroidism in Post Renal Transplant Recipients
Chronic Allograft NephropathyUnlock trial analytics
PHASE3COMPLETED
E.V.O.L.V.E. Trial™: EValuation Of Cinacalcet Hydrochloride (HCl) Therapy to Lower CardioVascular Events
Secondary HyperparathyroidismUnlock trial analytics
PHASE3COMPLETED
Cinacalcet HCl in Chronic Kidney Disease Subjects With Secondary Hyperparathyroidism Not Receiving Dialysis
Kidney DiseaseUnlock trial analytics
PHASE3COMPLETED
SENSOR: Study to Investigate Cinacalcet Treatment in Haemodialysis Patients With Secondary Hyperparathyroidism
Secondary HyperparathyroidismUnlock trial analytics
PHASE3COMPLETED
A Study of an Investigational Medication for the Treatment of Secondary Hyperparathyroidism in Patients on Dialysis
Secondary HyperparathyroidismUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy Study of AMG 073 in Hemodialysis Subjects
HyperparathyroidismUnlock trial analytics
PHASE3COMPLETED
A Study of an Investigational Medication for the Treatment of Secondary Hyperparathyroidism in Dialysis Patients
Secondary HyperparathyroidismUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events
From first dose of study drug in the extension study up to 4 weeks after the last dose; 32 weeks.

Adverse events (AEs) were graded according to the Common Terminology Criteria for Adverse Events (CTCAE, v4.0). The investigator assessed whether the adverse event was possibly related to the study drug as indicated by a "yes" or "no" response to the question: Is there a reasonable possibility that the event may have been caused by the study drug?

Percentage of Participants With Mean Corrected Total Serum Calcium Concentration ≤ 10.3 mg/dL (2.57 mmol/L) During the EAP
Efficacy assessment phase (study visits at Weeks 16, 20, 24, and 28)
Percentage of Participants With a Mean Corrected Total Serum Calcium Value < 10.2 mg/dL (2.55 mmol/L) During the Efficacy Assessment Phase (EAP)
Weeks 21 to 26 (EAP)
Time to Primary Composite Endpoint (All-cause Mortality, Myocardial Infarction, Hospitalization for Unstable Angina, Heart Failure or Peripheral Vascular Event)
From date of randomization until date of first confirmed primary composite endpoint event, assessed up to 5.4 years

Time to Primary Composite Endpoint (All-cause Mortality, Myocardial Infarction, Hospitalization for Unstable Angina, Heart Failure or Peripheral Vascular Event). Stratified by history of diabetes and country.

Proportion of subjects with a mean reduction of greater than or equal to 30% in iPTH at 32 weeks
Number of subjects with PTH less than or equal to 300pg/mL
21 week dose optimisation phase
To evaluate the efficacy of AMG 073 compared with placebo by determining the proportion of subjects with a mean intact parathyroid hormone (iPTH) value <= 250 pg/mL (26.5 pmol/L) during the efficacy assessment phase.
Efficacy Assessment phase - final 10 weeks of study
Secondary hyperparathyroidism in people with kidney failure.
Examine PTH and Ca x P control when cinacalcet is administered in the setting of flexible dosing of vitamin D sterols.
Reduction in Mean iPTH of ≥ 30% During the Efficacy Assessment Phase
Efficacy assessment phase (weeks 12-18)

Reduction in mean intact parathyroid hormone (iPTH) of ≥ 30% within the participant during the efficacy assessment phase

To evaluate the effects of AMG 073 compared with placebo on renal osteodystrophy as assessed by bone histomorphometry
entire study
Nature, frequency, severity, and relationship to treatment of adverse events
234 weeks
Number of Participants with Clinically Significant Laboratory Tests, Vital Signs or Electrocardiogram Assessments
4 weeks
Proportion of subjects with the mean of the maintenance phase serum calcium measurements ≤ 10.3 mg/dL and with a mean decrease of at least 0.5 mg/dL
24 weeks
Number of Participants with Adverse Events in Part 1 and Part 2
6 weeks in Part 1 and 15 days in Part 2

Secondary Endpoints

Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Baseline to Mean Value During Weeks 11 and 15
Baseline (defined as the mean values of samples collected during the screening period and day 1 pre-dose in the extension study) and weeks 11 and 15
Percentage of Participants Achieving ≥ 30% Reduction in iPTH From Baseline to Mean Value During Weeks 23 and 28
Extension study baseline and weeks 23 and 28
Percent Change From Baseline in iPTH to the Mean Value During Weeks 23 and 28
Extension study baseline and weeks 23 and 28
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CinacalcetEXPERIMENTALParticipants received cinacalcet daily for 24 weeks in this extension study. For participants who received standard of care (SOC) in parent study 20130356, the starting dose was 0.20 mg/kg/day. For participants who received SOC and cinacalcet in parent study 20130356 or 20110100 the starting dose was either the same as the last dose received in the parent study or 0.20 mg/kg/day if the last dose of cinacalcet in the parent study was received \> 14 days before day 1 of this study. Dose adjustments and withholding were based on weekly assessments of ionized calcium as well as plasma intact parathyroid hormone (iPTH) and corrected serum calcium levels assessed monthly.
PlaceboPLACEBO_COMPARATORParticipants received placebo orally twice a day (BID) for 12 weeks during the dose titration phase and for another 16 weeks during the efficacy assessment phase. Participants then continued into the open-label extension phase and received cinacalcet at a starting dose of 30 mg BID for 24 weeks. The dose of cinacalcet could have been increased or decreased as needed to maintain a corrected total serum calcium concentration within the normal range through Week 52.
During dialysis visitACTIVE_COMPARATORCinacalcet is given during the dialysis visit
Post-dialysis mealACTIVE_COMPARATORCinacalcet is administered with a post-dialysis meal
AMG 073EXPERIMENTALAMG 073
cinacalcet (AMG 073)EXPERIMENTAL -
Cinacalcet 50 mg QDEXPERIMENTALIn Part 1 participants received 50 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 30 mg cinacalcet capsules twice a day for 15 days.
Cinacalcet 75 mg QDEXPERIMENTALIn Part 1 participants received 75 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 40 mg cinacalcet capsules twice a day for 15 days.
Cinacelcet 100 mg QDEXPERIMENTALIn Part 1 participants received 100 mg cinacalcet capsules orally once a day (QD) for 6 weeks. In Part 2 participants received 50 mg cinacalcet capsules twice a day for 15 days.

Interventions

NameTypeDescription
CinacalcetDRUGCinacalcet was provided as 5 mg capsules for sprinkling or as 30 mg film-coated tablets for swallowing. The protocol-specified doses were: 1, 2.5, 5, 7.5, 10, 15, 30, 60, 90, 120, and 180 mg.
PlaceboDRUGAdministered orally following the same tiitration regimen as the experimental arm.
Cinacalcet HClDRUG -
AMG 073DRUG30 mg of AMG 073 taken once daily orally 60 mg of AMG 073 taken once daily orally 90 mg of AMG 073 taken once daily orally 120 mg of AMG 073 taken once daily orally 180 mg of AMG 073 taken once daily orally
cinacalcet (AMG 073)DRUGInitially receive 1 tablet of study medication (cinacalcet or placebo) once daily. Possible sequential dose titrations are 30, 60, 90, 120, 180mg cinacalcet or placebo) daily. The titration phase was 12 weeks and the efficacy assessment phase was 6 weeks.
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Eligibility Criteria

Age RangeN/A to 18 Years
SexALL
Healthy VolunteersNo
Study Sites33

INCLUSION CRITERIA: All subjects: * Subject's legally acceptable representative has provided informed consent when the subject is legally too young to provide informed consent and the subject has provided written assent based on local regulations and/or guidelines prior to any Study 20140159 activ...

Countries:United StatesBelgiumCzechiaFranceGermanyGreeceHungaryItalyPolandRussiaUkraineAustraliaCanadaPortugalAustriaSpainSwitzerlandUnited Kingdom
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Competitive Landscape -Hyperparathyroidism 4 trials

CompanyTickerTrialsLead PhaseDrugs
Amgen Inc.AMGN2PHASE3Etelcalcetide
OPKO Health, Inc.OPK1PHASE2CTAP101
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Frequently asked questions about AMG 073

What is AMG 073 used for?

AMG 073 is an investigational small molecule being developed for secondary hyperparathyroidism, end stage renal disease, and renal osteodystrophy. It is studied in dialysis patients with secondary hyperparathyroidism and in patients with renal osteodystrophy. The drug is not approved and remains in clinical development.

Who makes AMG 073?

AMG 073 is being developed by Amgen Inc., a biopharmaceutical company traded on NASDAQ under the ticker AMGN. Amgen is conducting clinical trials to evaluate the drug for conditions related to kidney disease and parathyroid disorders.

What phase is AMG 073 in?

AMG 073 is in Phase 2 clinical development. It has completed Phase 2 and Phase 3 trials, but it remains investigational and is not approved by regulatory authorities. The drug is being studied for secondary hyperparathyroidism, end stage renal disease, and renal osteodystrophy.

What clinical trials is AMG 073 in?

AMG 073 has been studied in several completed trials. NCT00037635 and NCT00042653 are Phase 3 trials in dialysis patients with secondary hyperparathyroidism and end stage renal disease. NCT00110929 is a Phase 2 trial in end stage renal disease. NCT00527085 is a Phase 2 trial in renal osteodystrophy.

Is AMG 073 the same as cinacalcet?

AMG 073 is the investigational code name for cinacalcet, a calcimimetic agent. It is being developed by Amgen for secondary hyperparathyroidism in patients with end stage renal disease on dialysis, as well as for renal osteodystrophy.