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Brodalumab

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment292
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00950989Brodalumab (AMG 827) in Rheumatoid Arthritis (RA) Participants With Inadequate Response to MethotrexatePHASE2 COMPLETED 252Dec 30, 2009Feb 11, 2011Dec 21, 2021 -
NCT00771030Study to Evaluate the Safety, PK, PD and Efficacy of AMG 827 in Adults With Rheumatoid ArthritisPHASE1 COMPLETED 40Oct 27, 2008May 25, 2010Nov 26, 2021 -
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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 — 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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