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AMG 706

Phase 2

Advanced Gastrointestinal Stromal Tumor | Small molecule | Oncology |Amgen Inc.|Last Updated: Feb 8, 2017

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment35

FDA Designations

No designations recorded

Clinical trial landscape

AMG 706 · 9 trials · 9 indications

Phase 2 3Phase 1 6
NCT00254267Evaluate the Efficacy of AMG 706 to Treat Advanced Gastrointestinal Stromal TumorsAdvanced Gastrointestinal Stromal Tumor
COMPLETED35 Analytics
NCT00121628A Phase 2, Open-label Study of AMG 706 to Treat Subjects With Locally Advanced or Metastatic Thyroid CancerThyroid Cancer
COMPLETED184 Analytics
NCT00089960Study of AMG 706 in Subjects With Advanced Gastrointestinal Stromal Tumors (GISTs)Gastrointestinal Cancer
COMPLETED138 Analytics
PHASE2COMPLETED
Evaluate the Efficacy of AMG 706 to Treat Advanced Gastrointestinal Stromal Tumors
Advanced Gastrointestinal Stromal TumorUnlock trial analytics
PHASE2COMPLETED
A Phase 2, Open-label Study of AMG 706 to Treat Subjects With Locally Advanced or Metastatic Thyroid Cancer
Thyroid CancerUnlock trial analytics
PHASE2COMPLETED
Study of AMG 706 in Subjects With Advanced Gastrointestinal Stromal Tumors (GISTs)
Gastrointestinal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

The objective response rate as assessed by modified RECIST
Every 8 weeks
Objective Response Rate (complete response and partial response) as defined by modified RECIST
Objective response rate as defined using modified RECIST criteria.
48 weeks treatment or until progressive disease, or unacceptable toxicity
Profile and identification of metabolites of [14C]-AMG 706 in plasma, urine, and faeces
Pharmacokinetics of total radioactivity in plasma and whole blood
The mass balance of [14C]-AMG 706 (as the percentage of the dose administered) in urine and faeces
Average change from baseline in gallbladder size (volume by ultrasound)
Anticipated 8 months of treatment with AMG 706
Average change from baseline in gallbladder function (ejection fraction)
Subject treatment with AMG 706 anticipated to be 8 months
Incidence of dose limiting toxicities (DLTs)
Cycle 1 of treatment. For Arm A, 1 cycle = 28 days. For Arm B, 1 cycle = 21 days
Safety including 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.
incidence of dose-limiting toxicities
Subjects will be in this study for up to 54 weeks (ie, 2 weeks screening, 48 weeks treatment and 4 weeks follow-up) or longer if subjects are deemed to have continuous clinical benefit from the combination chemotherapy and AMG 706
Part 1a - The incidence of adverse events and clinical laboratory abnormalities defined as dose-limiting toxicities
First 2 cycles
Part 1b - The incidence of adverse events and clinical laboratory abnormalities defined as dose-limiting toxicities
First 2 cycles
Part 2 - The overall objective tumor response rate (complete and partial response) in subjects treated with AMG 706 (at the dose determined in Part 1b), with either the FOLFIRI or FOLFOX-4 chemotherapy regimen
Every 8 weeks (+/- 7 days)

Secondary Endpoints

Duration of response, progression-free survival, time to response, overall survival, PK and safety profile
imaging, every 8 weeks; survival, every 6 months; PK, Days 1,15, 29, 43, 57, every 2 weeks in week 9 to 16, and every 4 weeks thereafter;
Duration of response
Progression Free Survival
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm OneEXPERIMENTALAMG 706 125mg, oral, once a day
ArmOTHERAMG 125 mg daily continuously
AEXPERIMENTAL -
Arm COTHERArm C - AMG 706 75 mg BID 5-days on and 2-days off
Arm BOTHERArm B - AMG 706 75 mg BID 2-weeks on and 1-week off
Arm AOTHERArm A = AMG 706 125 mg PO daily continuously
B1EXPERIMENTALAMG 706 50 mg daily + Docetaxel (100 mg/m2 D1 every 21 days)
A4EXPERIMENTAL75 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8 and D15 every 28 days)
A1EXPERIMENTALAMG 706 50 mg daily + Paclitaxel (90 mg/m2 D1, D8, D15 every 28 days)
B4EXPERIMENTAL75 mg AMG 706 daily + Docetaxel (100 mg/m2, D1 every 21 days)
B5EXPERIMENTALMTD of AMG 706 + Docetaxel (75mg/m2 D1 every 21 days)
B3EXPERIMENTAL100 mg AMG 706 daily + Docetaxel (100 mg/m2 on D1 every 21 days)
B2EXPERIMENTALAMG 706 125 mg daily + Docetaxel (100 mg/m2 D1 every 21 days)
A2EXPERIMENTALAMG 706 125 mg daily + paclitaxel 90 mg/m2 D1, D8, D15 every 28 days
A3EXPERIMENTAL100 mg AMG 706 daily + Paclitaxel (90 mg/m2 on D1, D8, and D15 every 28 days)
DEXPERIMENTAL3 mg/kg AMG 386 IV (QW) / 125 mg AMG 706 PO (QD)
BEXPERIMENTAL3 mg/kg AMG 386 IV (QW) / 75 mg AMG 706 PO (QD)
EEXPERIMENTAL3 mg/kg AMG 386 IV (QW) / 400 mg sorafenib PO (BID)
HEXPERIMENTAL10 mg/kg AMG 386 IV (QW) / 50 mg sunitinib PO (QD - 4 weeks on/2 weeks off)
GEXPERIMENTAL3 mg/kg AMG 386 IV (QW) / 50 mg sunitinib PO (QD - 4 weeks on/2 weeks off)
CEXPERIMENTAL10 mg/kg AMG 386 IV (QW) / 15 mg/kg bevacizumab IV (Q3W)
FEXPERIMENTAL10 mg/kg AMG 386 IV (QW) / 400 mg sorafenib PO (BID)
AMG 706 50mgACTIVE_COMPARATOR50 mg, once daily. (Cohort 1)
AMG 706 75mgACTIVE_COMPARATOR75 mg, twice daily. (Cohort 2)
AMG 706 125mgACTIVE_COMPARATOR125 mg, once daily. (Cohort 3)
Part 2 AMG 706 (MTD) + FOLFOX-4EXPERIMENTALMaximum Tolerated Dose of AMG 706 established in Part 1b + FOLFOX-4
125 mg QD AMG 706 + FOLFOX-4EXPERIMENTAL125 mg QD AMG 706 + FOLFOX-4
50 mg QD AMG706 + panitumumab + FOLFIRIEXPERIMENTAL50 mg QD AMG706 + panitumumab + FOLFIRI
Part 2 AMG 706 (MTD) + FOLFIRIEXPERIMENTALMaximum Tolerated Dose of AMG 706 established in Part 1b + FOLFIRI
100 mg QD AMG 706 + FOLFIRIEXPERIMENTAL100 mg AMG 706 + FOLFIRI
75 mg QD AMG 706 + panitumumab + FOLFOX-4EXPERIMENTAL75 mg QD AMG 706 + panitumumab + FOLFOX-4
75 mg BID AMG 706 + panitumumab + FOLFIRIEXPERIMENTAL75 mg BID AMG 706 + panitumumab + FOLFIRI
125 mg QD AMG 706 + panitumumab + FOLFIRIEXPERIMENTAL125 mg QD AMG 706 + panitumumab + FOLFIRI
125 mg QD AMG 706 + FOLFIRIEXPERIMENTAL125 mg QD AMG 706 + FOLFIRI
100 mg QD AMG 706 + panitumumab + FOLFIRIEXPERIMENTAL100 mg QD AMG 706 + panitumumab + FOLFIRI
75 mg QD AMG 706 + FOLFOX-4EXPERIMENTAL75 mg QD AMG 706 + FOLFOX-4
100 mg QD AMG 706 + FOLFOX-4EXPERIMENTAL100 mg QD AMG 706 + FOLFOX-4
50 mg QD AMG 706 + panitumumab + FOLFOX-4EXPERIMENTAL50 mg QD AMG 706 + panitumumab + FOLFOX-4
75 mg QD AMG706 + panitumumab + FOLFIRIEXPERIMENTAL75 mg QD AMG706 + panitumumab + FOLFIRI

Interventions

NameTypeDescription
AMG 706DRUGAMG 706 125mg, oral, once a day
DocetaxelDRUGSubjects assigned to Arm B, cohorts will receive 75 or 100 mg/m2 of docetaxel (based on cohort assignment) on Day 1 repeated every 21 days (1 cycle). AMG 706 will be administered concurrently on Days 3-21 of Cycle 1, and Days 1-21 of Cycle 2 and beyond.
PaclitaxelDRUGSubjects assigned to Arm A will receive 90 mg/m2 of paclitaxel on Days 1, 8 and 15 repeated every 28 days (1 cycle). On Arm A, AMG 706 will be concurrently administered on Days 3-28 of Cycle 1, and Days 1-28 of Cycle 2 and beyond.
SorafenibDRUGSorafenib 400 mg PO (BID)
AMG 386DRUGAMG 386 10 mg/kg IV (QW)
SunitinibDRUGSunitinib 50 mg PO (QD)
BevacizumabDRUGBevacizumab 15mg/kg IV Q3W
FOLFOX-4DRUGThe FOLFOX-4 regimen will be administered every 2 weeks as follows: Day 1: oxaliplatin (ELOXATIN™) 85 mg/m2 IV infusion and leucovorin racemate 200 mg/m2 (or 100 mg/m2 l-LV) IV infusion given over 120 ± 10 minutes at the same time in separate bags using a Y-line, followed by 5-FU 400 mg/m2 IV bolus given over 2 to 4 minutes, followed by 5-FU 600 mg/m2 IV infusion as a 22-hour ± 2 hours continuous infusion Day 2: leucovorin racemate 200 mg/m2 (or 100 mg/m2 l-LV) IV infusion over 120 ± 10 minutes, followed by 5-FU 400 mg/m2 IV bolus given over 2 to 4 minutes, followed
Panitumumab (Part 1a only)BIOLOGICALPanitumumab will be administered by IV infusion at a dose of 6 mg/kg on day 1 of each 2-week cycle.
FOLFIRIDRUGIrinotecan will be administered over 90 minutes ± 15 minutes on day 1 of each 2-week cycle. Leucovorin will be administered over 2 hours ± 15 minutes during the irinotecan infusion but without mixing, immediately followed by a 5-FU bolus and a 5-FU 46-hour ± 2-hour continuous intravenous infusion.
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Diagnosis of histological confirmed GIST * Had prior imatinib mesylate therapy * Has at least 1 measurable leasion by modified RECIST Exclusion Criteria: * Central nervous system tumor involvement requiring treatment * History of myocardial infraction * Uncontrolled hyperten...

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Frequently asked questions about AMG 706

What is AMG 706 used for?

AMG 706 is an investigational small molecule being studied for the treatment of several cancers, including rectal cancer, solid tumors, thyroid cancer, advanced solid tumors, locally recurrent and metastatic breast cancer, and histologically or cytologically documented solid tumors. It is being developed by Amgen Inc. and is currently in Phase 2 clinical development.

Who makes AMG 706?

AMG 706 is being developed by Amgen Inc., a biopharmaceutical company traded on NASDAQ under the ticker AMGN. The drug is an investigational small molecule in the oncology therapeutic area, and it is currently in Phase 2 clinical trials for multiple cancer indications.

What phase is AMG 706 in?

AMG 706 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Amgen Inc. has completed multiple clinical trials for the drug, including Phase 2 studies in gastrointestinal stromal tumors and Phase 1 studies in solid tumors.

What clinical trials has AMG 706 been in?

AMG 706 has been studied in several completed clinical trials. NCT00089960 was a Phase 2 study in 138 subjects with advanced gastrointestinal stromal tumors. NCT00254267 was a Phase 2 study in 35 subjects with advanced gastrointestinal stromal tumors. NCT00448786 was a Phase 1 study in 49 subjects with solid tumors. NCT01235416 was a Phase 1 study in 57 subjects with solid tumors.

Is AMG 706 being studied in gastrointestinal stromal tumors?

Yes, AMG 706 has been studied in gastrointestinal stromal tumors (GIST). Two completed Phase 2 trials evaluated the drug in this condition: NCT00089960 enrolled 138 subjects with advanced GIST, and NCT00254267 enrolled 35 subjects with advanced GIST. Both trials were sponsored by Amgen Inc.

What is the development status of AMG 706 for solid tumors?

AMG 706 has been evaluated in solid tumors through completed Phase 1 clinical trials. NCT00448786 studied the effect of different doses on the gallbladder in 49 subjects with advanced solid tumors. NCT01235416 was a Phase 1b dose-finding study of AMG 706 in combination with gemcitabine and erlotinib in 57 subjects with histologically or cytologically documented solid tumors.