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Apremilast IR

Phase 1FDA approved 2014

Undisclosed | Small molecule | Other |Amgen Inc.|Trials Updated: Jul 22, 2021

Apremilast IR development status

FDA approval Mar 21, 2014 as Otezla
Approval holderAmgen Inc
ApplicationNDA205437
Highest phase Phase 1
Registered trials 1 across 1 sponsor since May 2016

Label indication OTEZLA/OTEZLA XR, an inhibitor of phosphodiesterase 4 (PDE4), is indicated for the treatment of: Adult patients with: Active psoriatic arthritis ( 1.1 ) Plaque psoriasis who are candidates for phototherapy or systemic therapy ( 1.2 ) Oral ulcers associated with Behçet's Disease ( 1.3 ) Pediatric patients 6 years of age and older with: Active psoriatic arthritis ( 1.1 ) Moderate to severe plaque psoriasis who are… FDA label

Apremilast IR target and mechanism

Molecular targetPDE4A, PDE4D, PDE4B, PDE4C
Target classInhibitor
ModalitySmall molecule

Also known as Otezla®

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment144

FDA Designations

No designations recorded

Apremilast IR clinical trials

Apremilast IR · 1 trial · 1 indication

Phase 1 1
NCT02777554A Study to Evaluate the Pharmacokinetic Exposure of 2 Formulations of Apremilast in Healthy AdultsHealthy Volunteers
COMPLETED144 Analytics
PHASE1COMPLETED
A Study to Evaluate the Pharmacokinetic Exposure of 2 Formulations of Apremilast in Healthy Adults
Healthy VolunteersUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Peak Maximum Plasma Concentration (Cmax) of Apremilast
Apremilast IR: Day 7 predose and at 0.5, 1, 2, 3, 5, 8, 12, 12.5, 13, 14, 15, 17, 20, and 24 hours after the morning dose. Apremilast XL: Day 7 predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 20, and 24 hours after the morning dose.
Part 1: Area Under the Concentration-time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Apremilast
Apremilast IR: Day 7 predose and at 0.5, 1, 2, 3, 5, 8, 12, 12.5, 13, 14, 15, 17, 20, and 24 hours after the morning dose. Apremilast XL: Day 7 predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 20, and 24 hours after the morning dose.
Part 2: Peak Maximum Plasma Concentration (Cmax) of Apremilast
Apremilast IR: Predose and at 0.5, 1, 2, 3, 5, 8, 12, 12.5, 13, 14, 15, 17, 20, 24, 36, 48, 60, and 72 hours after the morning dose. Apremilast XL: Predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 20, 24, 30, 36, 48, 60, and 72 hours postdose.
Part 2: Area Under the Plasma Concentration-time Curve From Time Zero to the Last Observable Concentration (AUC0-t) of Apremilast
Apremilast IR: Predose and at 0.5, 1, 2, 3, 5, 8, 12, 12.5, 13, 14, 15, 17, 20, 24, 36, 48, 60, and 72 hours after the morning dose. Apremilast XL: Predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 20, 24, 30, 36, 48, 60, and 72 hours postdose.
Part 2: Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-∞) of Apremilast
Apremilast IR: Predose and at 0.5, 1, 2, 3, 5, 8, 12, 12.5, 13, 14, 15, 17, 20, 24, 36, 48, 60, and 72 hours after the morning dose. Apremilast XL: Predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 14, 16, 20, 24, 30, 36, 48, 60, and 72 hours postdose.

Secondary Endpoints

Number of Participants With Treatment-emergent Adverse Events
Part 1: Up to 7 days after last dose in each treatment period (14 days); Part 2: Up to 7 days after each dose.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1: Apremilast 30 mg IR BID / Apremilast 75 mg XL QDEXPERIMENTALParticipants received apremilast 30 mg immediate release (IR) tablet twice a day (BID) for 7 days in treatment period 1 then apremilast 75 mg extended release (XL) formulation once a day (QD) for 7 days in treatment period 2.
Part 1: Apremilast 75 mg XL QD / Apremilast 30 mg IR BIDEXPERIMENTALParticipants received apremilast 75 mg XL formulation once a day for 7 days in treatment period 1 then apremilast 30 mg IR tablet twice a day for 7 days in treatment period 2.
Part 2: Sequence 1EXPERIMENTALParticipants received a single dose of apremilast in each of 4 treatment periods according to the following: Treatment period 1: Apremilast 30 mg IR tablet under fasted conditions; Treatment period 2: Apremilast 75 mg XL formulation after a high-fat meal; Treatment period 3: Apremilast 75 mg XL formulation under fasted conditions; Treatment period 4: Apremilast 75 mg XL formulation after a standard meal.
Part 2: Sequence 2EXPERIMENTALParticipants received a single dose of apremilast in each of 4 treatment periods according to the following: Treatment period 1: Apremilast 75 mg XL formulation under fasted conditions; Treatment period 2: Apremilast 30 mg IR tablet under fasted conditions; Treatment period 3: Apremilast 75 mg XL formulation after a standard meal; Treatment period 4: Apremilast 75 mg XL formulation after a high-fat meal.
Part 2: Sequence 3EXPERIMENTALParticipants received a single dose of apremilast in each of 4 treatment periods according to the following: Treatment period 1: Apremilast 75 mg XL formulation after a standard meal; Treatment period 2: Apremilast 75 mg XL formulation under fasted conditions; Treatment period 3: Apremilast 75 mg XL formulation after a high-fat meal; Treatment period 4: Apremilast 30 mg IR tablet under fasted conditions.
Part 2: Sequence 4EXPERIMENTALParticipants received a single dose of apremilast in each of 4 treatment periods according to the following: Treatment period 1: Apremilast 75 mg XL formulation after a high-fat meal; Treatment period 2: Apremilast 75 mg XL formulation after a standard meal; Treatment period 3: Apremilast 30 mg IR tablet under fasted conditions; Treatment period 4: Apremilast 75 mg XL formulation under fasted conditions.

Interventions

NameTypeDescription
Apremilast IRDRUGApremilast immediate release tablet
Apremilast XLDRUGApremilast extended release formulation tablet
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: Subjects must satisfy the following criteria to be enrolled in the study (Part 1 and Part 2): 1. Must understand and voluntarily sign a written Informed consent form (ICF) prior to any study-related procedures being performed. 2. Must be able to communicate with the investigato...

Countries:United States
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Frequently asked questions about Apremilast IR

What is Apremilast IR?

Apremilast IR is an immediate-release small molecule formulation of apremilast, a PDE4 inhibitor. It is being developed by Amgen Inc. (ticker AMGN) and has been studied in a Phase 1 clinical trial in healthy adult volunteers. The specific therapeutic indication for this formulation has not been disclosed.

What does Apremilast IR target?

Apremilast IR targets phosphodiesterase 4 (PDE4), specifically the PDE4A, PDE4B, PDE4C, and PDE4D subtypes. It acts as a PDE4 inhibitor. By inhibiting these enzymes, the drug modulates intracellular signaling pathways, though the precise clinical consequences of this inhibition for the immediate-release formulation are still under early investigation.

Who makes Apremilast IR?

Apremilast IR is being developed by Amgen Inc., which trades under the ticker symbol AMGN. Amgen is the sponsor responsible for the clinical development of this immediate-release formulation of apremilast.

What phase is Apremilast IR in?

Apremilast IR is in Phase 1 clinical development. It is an investigational formulation and has not been approved by the FDA. The Phase 1 program has completed one trial, and no active trials are currently listed for this specific immediate-release formulation.

What clinical trials is Apremilast IR in?

Apremilast IR has been evaluated in one completed Phase 1 trial, NCT02777554, titled A Study to Evaluate the Pharmacokinetic Exposure of 2 Formulations of Apremilast in Healthy Adults. The trial enrolled 144 healthy adult volunteers in the United States, was randomized and controlled, and did not use double blinding.

Is Apremilast IR the same as apremilast?

Apremilast IR is an immediate-release formulation of apremilast, the active drug substance. The IR designation refers to the formulation's release characteristics rather than a different molecule. This distinguishes it from other formulation approaches that may be under development for the same active ingredient.