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AMG 386

Phase 3

Fallopian Tube Cancer | Small molecule | Oncology |Amgen Inc.|Last Updated: Dec 18, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment919

FDA Designations

No designations recorded

Clinical trial landscape

AMG 386 · 10 trials · 22 indications

Phase 3 1Phase 2 5Phase 1 4
NCT01204749TRINOVA-1: A Study of AMG 386 or Placebo, in Combination With Weekly Paclitaxel Chemotherapy, as Treatment for Ovarian Cancer, Primary Peritoneal Cancer and Fallopian Tube CancerFallopian Tube Cancer
COMPLETED919 Analytics
PHASE3COMPLETED
TRINOVA-1: A Study of AMG 386 or Placebo, in Combination With Weekly Paclitaxel Chemotherapy, as Treatment for Ovarian Cancer, Primary Peritoneal Cancer and Fallopian Tube Cancer
Fallopian Tube CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival
8 Months on average
Progression free survival (PFS) rate at 4 months
4 months
To estimate the treatment effect as measured by progression free survival (PFS) in subjects treated with AMG 386 + FOLFIRI relative to subjects treated with FOLFIRI + placebo.
The time frame will be event driven and will occur when 100 subjects have experienced a PFS event (radiographic disease progression or death).
Progression Free Survival
2 years
Progression-free survival (PFS)
3 YEARS
Paclitaxel PK parameters
9 weeks

Paclitaxel PK parameters with and without the co-administration of AMG 386.

Area under the serum concentration-time curve (AUC)
Week 1-5.
Maximum observed concentration (Cmax)
Week 1-5.
Time to maximum concentration (tmax)
Week 1-5.
Minimum observed concentration (Cmin)
Week 1-5.
Clearance (CL) of AMG 386 calculated as dose divided by AUC on week 5.
Week 1-5
Adverse events, clinically significant changes in laboratory results, ECG, and vital signs, to be measured throughout the study.
Pharmacokinetic Profile of AMG 386 - blood levels of AMG 386 to be measured throughout the study.

Secondary Endpoints

Overall survival
20 months on average
Objective Response Rate
From Baseline (if subject has Measurable Disease) until objective response (radiologic)
Duration of response
From Baseline until progression
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AMG 386EXPERIMENTALArm A: Paclitaxel 80mg/m2 IV QW and Blinded AMG 386 15mg/kg IV QW
AMG 386 PlaceboPLACEBO_COMPARATORArm B: Paclitaxel 80mg/m2 IV QW and Blinded AMG 386 Placebo IV QW
15mg/ kg cohortEXPERIMENTALAMG 386 15mg/kg intravenously once weekly and Sorafenib 400mg orally twice daily in an every 4 weeks dosing schedule.
10 mg/kg cohortEXPERIMENTALAMG 386 10mg/kg intravenously once weekly and Sorafenib 400mg orally twice daily in an every 4 weeks dosing schedule.
2PLACEBO_COMPARATORAMG 386 placebo QW, FOLFIRI Q2W
1ACTIVE_COMPARATORArm 1 : AMG 386 10 mg/kg QW, FOLFIRI Q2W
Arm AEXPERIMENTALPaclitaxel 80 mg/m2 IV QW (3 on/1 off) + AMG 386 10 mg/kg IV QW
Arm BEXPERIMENTALPaclitaxel 80 mg/m2 IV QW (3 on/1 off) + AMG 386 3 mg/kg IV QW
Arm CACTIVE_COMPARATORPaclitaxel 80 mg/m2 IV QW (3 on/1 off) + AMG 386 placebo
AEXPERIMENTALPaclitaxel 90 mg/m² IV QW (3 on/1 off) + bevacizumab 10 mg/kg IV Q2W + AMG 386 10 mg/kg IV QW
DEXPERIMENTALPaclitaxel 90 mg/m² IV QW (3 on/1 off) + Open Label AMG 386 10 mg/kg IV QW
BEXPERIMENTALPaclitaxel 90 mg/m² IV QW (3 on/1 off) + bevacizumab 10 mg/kg IV Q2W + AMG 386 3 mg/kg IV QW
CACTIVE_COMPARATORPaclitaxel 90 mg/m² IV QW (3 on/1 off) + bevacizumab 10 mg/kg IV Q2W + AMG 386 placebo IV QW
AMG 386 15mg/kg and paclitaxel 80mg/m2EXPERIMENTAL -
Group 1EXPERIMENTALCancer subjects with normal renal function.
Group 3EXPERIMENTALCancer subjects with moderate renal impairment.
Group 4EXPERIMENTALCancer subjects with severe renal impairment.
Group 2EXPERIMENTALCancer subjects with mild renal impairment.

Interventions

NameTypeDescription
AMG 386DRUGWeekly Intravenous (IV) AMG 386 15 mg/kg
AMG 386 PlaceboDRUGWeekly Intravenous (IV) placebo 15 mg/kg
PaclitaxelDRUGPaclitaxel 80 mg/m2 intravenous (IV) weekly (3 on/1 off)
SorafenibDRUGSorafenib 400 mg PO BID orally twice daily in an every 4 week dosing schedule for 15mg/kg cohort \& 10mg/kg cohort
FOLFIRIDRUGAdministration of FOLFIRI chemotherapy will commence on day 1 of each dosing week following the administration of AMG 386. FOLFIRI Q2W regimen: irinotecan 180 mg/m2 IV over 90 (+-15) minutes on Day 1, leucovorin 400 mg/m2 IV over 2 hrs on Day 1, 5 FU 400mg/m2 IV bolus, followed by 2400 mg/m2 continuous IV infusion over 46 hrs +- 2 hours. FOLFIRI will be administered until disease progression, FOLFIRI intolerability, death, or study withdrawal by the subject, investigator, or sponsor, whichever occurs earliest.
BevacizumabDRUGBevacizumab 10mg/kg IV Q2W
AMG 386 placebo IVDRUGAMG 386 placebo IV
PemetrexedDRUGPemetrexed 500 mg/m2
CarboplatinDRUGCarboplatin AUC 6
AMG 386 + PaclitaxelDRUG15 mg/kg IV (in the vein) of AMG 386 weekly + 80 mg/m\^2 IV (in the vein) 3 weeks on/1 week off, optional beginning week 6 until progression, unacceptable toxicity, or withdrawal of consent.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites225

Inclusion Criteria: * Female 18 years of age or older at the time the written informed consent is obtained * Gynecologic Oncology Group (GOG) Performance Status of 0 or 1 * Life expectancy \>= 3 months (per investigator opinion) * Histologically or cytologically documented invasive epithelial ovari...

Countries:United StatesAustraliaBelgiumBrazilBulgariaCanadaChileCroatiaCzechiaEstoniaFranceGreeceHong KongIndiaIsraelItalyJapanLatviaMalaysiaMexicoPeruPolandPortugalRomaniaRussiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandUnited KingdomAustriaDenmarkFinlandHungaryNetherlands
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Frequently asked questions about AMG 386

What is AMG 386 used for?

AMG 386 is an investigational oncology drug being studied for advanced renal cell carcinoma, advanced solid tumors, carcinoma, gastrointestinal cancer, fallopian tube cancer, and locally recurrent and metastatic breast cancer. It is in Phase 2 clinical development and is not yet approved by the FDA.

Who makes AMG 386?

AMG 386 is being developed by Amgen Inc., a biopharmaceutical company traded on NASDAQ under the ticker AMGN. The drug is an investigational small molecule in Phase 2 clinical development for multiple oncology indications.

What phase is AMG 386 in?

AMG 386 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. Clinical trials have been completed, including a Phase 2 study in advanced renal cell carcinoma.

What clinical trials is AMG 386 in?

AMG 386 has been studied in several completed clinical trials, including NCT00467025, a Phase 2 study in advanced renal cell carcinoma; NCT01331941, a pharmacokinetic study in advanced solid tumors and renal impairment; NCT01666977, a Phase 1b/2 trial in non-small cell lung cancer; and NCT01992341, a drug-drug interaction study with paclitaxel.

Is AMG 386 the same as trebananib?

AMG 386 is also known as trebananib. It is an investigational oncology drug being developed by Amgen Inc. for multiple cancer types, including advanced renal cell carcinoma and advanced solid tumors.