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AMG 531

Phase 3

Idiopathic Thrombocytopenic Purpura | Small molecule | Hematology |Amgen Inc.|Last Updated: Nov 8, 2022

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment56

FDA Designations

No designations recorded

Clinical trial landscape

AMG 531 · 7 trials · 11 indications

Phase 3 3Phase 2 2Phase 1 2
NCT00603642P3 Study to Evaluate Efficacy and Safety of AMG 531 in Thrombocytopenic Japanese Subjects With Immune (Idiopathic) Thrombocytopenic PurpuraIdiopathic Thrombocytopenic Purpura
COMPLETED34 Analytics
NCT00102336AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Prior to SplenectomyThrombocytopenia
COMPLETED62 Analytics
NCT00102323AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Refractory to SplenectomyThrombocytopenia
COMPLETED63 Analytics
PHASE3COMPLETED
P3 Study to Evaluate Efficacy and Safety of AMG 531 in Thrombocytopenic Japanese Subjects With Immune (Idiopathic) Thrombocytopenic Purpura
Idiopathic Thrombocytopenic PurpuraUnlock trial analytics
PHASE3COMPLETED
AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Prior to Splenectomy
ThrombocytopeniaUnlock trial analytics
PHASE3COMPLETED
AMG 531 Treatment of Thrombocytopenic Subjects With Immune (Idiopathic) Thrombocytopenic Purpura (ITP) Refractory to Splenectomy
ThrombocytopeniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Weeks With Weekly Platelet Response
12 weeks (Weeks 2 - 13)

Number of weeks with weekly platelet response. A weekly platelet response is defined as a platelet count of ≥ 50 x 10\^9/L on a weekly scheduled dose day from week 2 to week 13.

To evaluate the efficacy of AMG 531 in the treatment of thrombocytopenia in subjects with ITP as measured by durable platelet response during the last 8 weeks of treatment and other platelet response parameters
Last 8 weeks of treatments
Occurrence of a Clinically Significant Thrombocytopenic Event
Treatment period through interim follow-up visit (up to 16 weeks)

Occurrence of one or more clinically significant thrombocytopenic events, defined as either Common Terminology Criteria for Adverse Events (CTCAE) v. 3 grade 3 or 4 thrombocytopenia starting from week 3 of cycle 1 or receipt of platelet transfusions starting from week 1 of cycle 1 and continuing through the end of treatment visit.

Adverse Events
12 weeks

Occurrence of one or more adverse events in the participant during the 12-week treatment period

Change in Platelet Nadir
32 weeks

Change in platelet nadir from the previous qualifying cycle to the first treatment cycle.

Secondary Endpoints

Increased Platelet Count From Baseline of at Least 20 x 10^9/L
Baseline, 12 weeks (Weeks 2 - 13)
Change From Baseline in Mean of Last 4 Weekly Platelet Counts
12 weeks (Weeks 2 - 13)
Weeks With Platelet Count Between 50 and 200
12 weeks (Weeks 2 - 13)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AMG 531PLACEBO_COMPARATORDouble blinded placebo-controlled study
PlaceboPLACEBO_COMPARATOR -
750 mcg AMG 531ACTIVE_COMPARATOR750 μg AMG 531 weekly by subcutaneous injection + lenalidomide (10 mg orally per day) for 16 weeks (Part A)
Placebo Part BPLACEBO_COMPARATORPlacebo weekly via subcutaneous injection + lenalidomide (10 mg orally per day) for 16 weeks (Part B)
Placebo Part APLACEBO_COMPARATORPlacebo weekly via subcutaneous injection + lenalidomide (10 mg orally per day) for 16 weeks (Part A)
500 mcg AMG 531ACTIVE_COMPARATOR500 μg AMG 531 weekly by subcutaneous injection + lenalidomide (10 mg orally per day) for 16 weeks (Part A)
750 mcg AMG531 Part BACTIVE_COMPARATOR750 μg AMG 531 biweekly by subcutaneous injection + lenalidomide (10 mg orally per day) for 16 weeks (Part B)
Dose level 1 500 AMG 531 (Part A - azacitidine)ACTIVE_COMPARATOR500 mcg AMG 531 weekly via subcutaneous injection + 75 mg/m2 azacitidine for 4 cycles
Dose level 1 750 AMG 531 (Part B - decitabine)ACTIVE_COMPARATOR750 mcg AMG 531 weekly via subcutaneous injection + 20 mg/m2 decitabine for 4 cycles
Dose level 2 750 AMG 531 (Part A - azacitidine)ACTIVE_COMPARATOR750 mcg AMG 531 weekly via subcutaneous injection + 75 mg/m2 azacitidine for 4 cycles
Placebo (Part A - azacitidine)PLACEBO_COMPARATORPlacebo weekly via subcutaneous injection + 75 mg/m2 azacitidine for 4 cycles
Placebo (Part B - decitabine)PLACEBO_COMPARATORPlacebo weekly via subcutaneous injection + 20 mg/m2 decitabine for 4 cycles
II.PLACEBO_COMPARATOR5 thrombocytopenic (as defined per protocol) subjects
I.EXPERIMENTAL15 thrombocytopenic (as defined per protocol) subjects
Single Arm: AMG 531 Dose-Escalating Cohort StudyEXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGSubcutaneously administered, once a week, for 12 weeks
AMG 531DRUGSubcutaneously administered, once a week, for 12 weeks
AMG 531 (Romiplostim)BIOLOGICALAMG 531 (Romiplostim) will be administered weekly by subcutaneous injection at a dose of 500 or 750 μg during Part A and 750 μg during Part B for the 4 cycle treatment period, depending on randomization.
AzacitidineDRUGhypomethylating agent
DecitabineDRUGhypomethylating agent
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Japanese patients with diagnosis of ITP according to the diagnostic criteria proposed by Research Committee for Idiopathic Hematopoietic Disorders of the Ministry of Health, Labour and Welfare \[MHLW\] (revised in 1990) at least 6 months before the first screening visit * The ...

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Frequently asked questions about AMG 531

What is AMG 531 used for?

AMG 531 is an investigational monoclonal antibody being studied for thrombocytopenia, including immune (idiopathic) thrombocytopenic purpura (ITP), myelodysplastic syndromes (MDS), and chemotherapy-induced thrombocytopenia. It is being developed by Amgen Inc. (NASDAQ: AMGN) and is currently in clinical trials.

What does AMG 531 target?

AMG 531 targets the thrombopoietin receptor to stimulate platelet production. It is a monoclonal antibody designed to treat thrombocytopenia, a condition characterized by low platelet counts, in patients with ITP, MDS, and other related disorders.

Who makes AMG 531?

AMG 531 is developed by Amgen Inc., a biopharmaceutical company traded on NASDAQ under the ticker AMGN. Amgen is conducting clinical trials to evaluate the safety and efficacy of AMG 531 in patients with thrombocytopenia associated with ITP and MDS.

What phase is AMG 531 in?

AMG 531 is in Phase 1 clinical development, although completed trials include Phase 2 and Phase 3 studies. It is an investigational drug and not yet approved by regulatory authorities. Amgen has completed multiple trials in ITP and MDS patients.

What clinical trials is AMG 531 in?

AMG 531 has been studied in several completed trials, including NCT00102323 and NCT00102336 for ITP, NCT00321711 for MDS with hypomethylating agents, and NCT00418665 for MDS with Revlimid. These trials enrolled a total of 233 patients across all studies.

Is AMG 531 the same as romiplostim?

Yes, AMG 531 is also known as romiplostim. In clinical trials, it has been referred to by both names. Romiplostim is being investigated for its ability to increase platelet counts in patients with thrombocytopenia due to ITP or MDS.