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Brodalumab

Phase 2

Rheumatoid Arthritis | Monoclonal antibody | Immunology |Amgen Inc.|Last Updated: Dec 21, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment292

FDA Designations

No designations recorded

Clinical trial landscape

Brodalumab · 2 trials · 1 indication

Phase 2 1Phase 1 1
NCT00950989Brodalumab (AMG 827) in Rheumatoid Arthritis (RA) Participants With Inadequate Response to MethotrexateRheumatoid Arthritis
COMPLETED252 Analytics
PHASE2COMPLETED
Brodalumab (AMG 827) in Rheumatoid Arthritis (RA) Participants With Inadequate Response to Methotrexate
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With an American College of Rheumatology 50% (ACR50) Response at Week 12
Baseline, week 12

A positive ACR50 response is defined if the following 3 criteria for improvement from baseline were met: * 50% improvement in 68 tender joint count; * 50% improvement in 66 swollen joint count; and * 50% improvement in at least 3 of the 5 following parameters: * Patient's assessment of joint pain (measured on a 100 mm visual analog scale \[VAS\]), * Patient's global assessment of disease activity (measured on a 0-10 Likert scale), * Physician's global assessment of disease activity (measured on a 0-10 Likert scale), * Patient's self assessment of disability (Health Assessment Questionnaire - Disability Index \[HAQ-DI\]), * Acute phase reactant: erythrocyte sedimentation rate (ESR) or C-Reactive Protein (CRP), whichever has bigger improvement.

Number of Participants With Treatment-emergent Adverse Events
From first dose of study drug up to end of study (week 19).

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment, including any such occurrence (eg, sign, symptom, or diagnosis) or worsening of a pre-existing medical condition. A serious adverse event was defined as an adverse event that was fatal; was life threatening; required in-patient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; or other significant medical hazard.

Number of Participants With Clinically Significant Changes in Safety Laboratory Tests
Blood samples were taken on days 2, 8, 15, 29, 43, 57, 71, 85, 106, and 127.

The investigator reviewed laboratory test results and determined whether an abnormal value in an individual study participant represented a change from prestudy values and determined if changes were clinically significant. The number of participants with clinically significant changes in lab values at any time during the study is reported.

Number of Participants With Clinically Significant Changes in Physical Examination Findings, Vital Signs, or Electrocardiogram Findings
From first dose of study drug up to 4 weeks after last dose; 14 weeks for Cohorts 1, 2, and 3 and 8 weeks for Cohorts 5 and 6.
Number of Participants With Anti-brodalumab Antibodies
Days 1 (pre-dose), 29 (pre-dose), 85, and 127

Samples were tested in a validated immunoassay for the presence of anti-brodalumab binding antibodies. Samples found to be positive for binding antibodies were further tested using a validated cell-based bioassay to determine if the antibodies were able to neutralize the activity of brodalumab.

Secondary Endpoints

Percentage of Participants With an American College of Rheumatology 20% (ACR20) Response at Week 12
Baseline, Week 12
Percentage of Participants With an American College of Rheumatology 70% (ACR70) Response at Week 12
Baseline, week 12
Disease Activity Score 28 (DAS28) at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).
Brodalumab 70 mgEXPERIMENTAL70 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).
Brodalumab 140 mgEXPERIMENTAL140 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexateand folic acid supplementation (at least 5 mg per week).
Brodalumab 210 mgPLACEBO_COMPARATOR210 mg brodalumab on day 1 and weeks 1, 2, 4, 6, 8, and 10 for a total of 7 doses plus a stable weekly dose of methotrexate and folic acid supplementation (at least 5 mg per week).
Placebo SC (Cohorts 1-3)PLACEBO_COMPARATORParticipants received placebo to brodalumab by subcutaneous (SC) injection once every 2 weeks for a total of six doses.
Placebo IV (Cohorts 5-6)PLACEBO_COMPARATORParticipants received placebo to brodalumab by intravenous (IV) infusion every 4 weeks for a total of two doses.
Brodalumab 50 mg SC (Cohort 1)EXPERIMENTALParticipants received 50 mg brodalumab by subcutaneous injection once every 2 weeks for a total of six doses.
Brodalumab 140 mg SC (Cohort 2)EXPERIMENTALParticipants received 140 mg brodalumab by subcutaneous injection once every 2 weeks for a total of six doses.
Brodalumab 210 mg SC (Cohort 3)EXPERIMENTALParticipants received 210 mg brodalumab by subcutaneous injection once every 2 weeks for a total of six doses.
Brodalumab 420 mg IV (Cohort 5)EXPERIMENTALParticipants received 420 mg brodalumab by IV infusion once every 4 weeks for a total of two doses.
Brodalumab 700 mg IV (Cohort 6)EXPERIMENTALParticipants received 700 mg brodalumab by IV infusion once every 4 weeks for a total of two doses.

Interventions

NameTypeDescription
BrodalumabDRUG3 single subcutaneous (SC) injections at day 1 and weeks 1, 2, 4, 6, 8, and 10
PlaceboDRUG3 single SC injections at day 1 and weeks 1, 2, 4, 6, 8, and 10
MethotrexateDRUGTwo methotrexate dose adjustments were allowed in the event of methotrexate toxicity, however, doses \< 7.5 mg/week necessitated discontinuation from study.
folic acidDIETARY_SUPPLEMENTat least 5 mg per week
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Active RA for least 6 months * Current RA defined as ≥ 6 swollen joints (out of 66 joints examined) and ≥ 8 tender/painful joints (out of 68 joints examined) at screening and baseline (swollen and tender/painful joint count must not include distal interphalangeal joints) and a...

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Frequently asked questions about Brodalumab

What is Brodalumab used for?

Brodalumab is an investigational monoclonal antibody being studied for the treatment of rheumatoid arthritis. It is being developed by Amgen Inc. (NASDAQ: AMGN). The drug is currently in clinical development and has not been approved for this indication.

What does Brodalumab target?

Brodalumab is a monoclonal antibody that targets the interleukin-17 receptor. By binding to this receptor, it is designed to block the activity of interleukin-17, a cytokine involved in inflammatory processes relevant to rheumatoid arthritis.

Who makes Brodalumab?

Brodalumab is being developed by Amgen Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol AMGN. Amgen is conducting clinical trials to evaluate the drug's safety and efficacy in patients with rheumatoid arthritis.

What phase is Brodalumab in?

Brodalumab has completed Phase 1 and Phase 2 clinical trials for rheumatoid arthritis. The Phase 2 trial evaluated the drug in patients with an inadequate response to methotrexate. The drug remains investigational and is not yet approved.

What clinical trials is Brodalumab in?

Brodalumab has been studied in two completed clinical trials for rheumatoid arthritis. NCT00771030 was a Phase 1 study evaluating safety, pharmacokinetics, pharmacodynamics, and efficacy in 40 adults. NCT00950989 was a Phase 2 study in 252 patients with inadequate response to methotrexate.

Is Brodalumab the same as AMG 827?

Yes, Brodalumab is also known as AMG 827. Clinical trial records for the drug reference both names, with the Phase 1 study titled 'Study to Evaluate the Safety, PK, PD and Efficacy of AMG 827 in Adults With Rheumatoid Arthritis'.