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Conatumumab

Phase 2

Advanced Solid Tumors | Monoclonal antibody | Oncology |Amgen Inc.|Trials Updated: Feb 21, 2021

Conatumumab development status

Highest phase Phase 2
Registered trials 9 across 2 sponsors since Sep 2007

Conatumumab target and mechanism

Molecular targetTNFRSF10B
Target classAgonist
ModalityMonoclonal antibody

Also known as AMG 655

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials5
Total Enrollment553

FDA Designations

No designations recorded

Conatumumab clinical trials

Conatumumab · 5 trials · 19 indications

Phase 2 1Phase 1 4
NCT01327612Open Label Extension Study of Conatumumab and Ganitumab (AMG 479)Advanced Solid Tumors
COMPLETED12 Analytics
PHASE2COMPLETED
Open Label Extension Study of Conatumumab and Ganitumab (AMG 479)
Advanced Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events
From first dose of study drug in the extension study to 30 days after last dose; median duration of treatment with conatumumab was 1190.5 days and 1163.0 days for ganitumab.

An adverse event is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a pre-existing medical condition. The event does not necessarily have a causal relationship with study treatment.

Number of Participants With Serious Adverse Events
From first dose of study drug in the extension study to 30 days after last dose; median duration of treatment with conatumumab was 1190.5 days and 1163.0 days for ganitumab.

A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria: * fatal, * life threatening (places the participant at immediate risk of death), * required in-patient hospitalization or prolongation of existing hospitalization, * resulted in persistent or significant disability/incapacity, * congenital anomaly/birth defect, and/or * other medically important serious event.

Part 1: Safety: Subject incidence of treatment emergent adverse events, Dose Limiting Toxicities, the severity of adverse events and clinically significant changes in safety laboratory tests, physical examinations, or vital signs.
Length of Study
Part 2: Objective response rate of AMG 655 Therapy as determined by using IWG criteria at the dose selected in Part 1, in combination with Bortezomib in subjects with mantle cell lymphoma
Length of Study
Progression free survival
Until disease progression
Progression-Free Survival
Length of Study

Secondary Endpoints

Maximum Change From Baseline in Blood Pressure
Baseline and day 1 of each treatment cycle (every 2, 3, or 4 weeks depending on dosing schedule) up to 30 days after last dose; median duration of treatment with conatumumab was 1190.5 days and 1163.0 days for ganitumab.
Minimum Change From Baseline in Blood Pressure
Baseline and day 1 of each treatment cycle (every 2, 3, or 4 weeks depending on dosing schedule) up to 30 days after last dose; median duration of treatment with conatumumab was 1190.5 days and 1163.0 days for ganitumab.
Number of Participants With CTCAE Grade 3 or Higher Clinical Laboratory Toxicities
From first dose of study drug in the extension study to 30 days after last dose; median duration of treatment with conatumumab was 1190.5 days and 1163.0 days for ganitumab.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Conatumumab MonotherapyEXPERIMENTALParticipants will continue to receive conatumumab every 2 weeks (Q2W) or every 3 weeks (Q3W) at the same dose and regimen as at the conclusion of the parent study.
Conatumumab + GanitumabEXPERIMENTALParticipants will receive conatumumab and ganitumab by intravenous infusion at the same dose and regimen as at the conclusion of the parent study.
Ganitumab MonotherapyEXPERIMENTALParticipants will continue to receive ganitumab Q3W or every 4 weeks (Q4W) at the same dose and regimen as at the conclusion of the parent study.
Conatumumab + mFOLFOX6 ± BevacizumabEXPERIMENTALParticipants will continue to receive conatumumab by intravenous infusion in addition to modified FOLFOX6 chemotherapy with or without bevacizumab.
Cohort 4EXPERIMENTALAMG 655 (intermediate dose) with Vorinostat
Cohort 1EXPERIMENTALAMG 655 (low dose) with Bortezomib
Cohort 2EXPERIMENTALAMG 655 (low dose) with vorinostat
Cohort 5EXPERIMENTALAMG 655 (high dose) with Bortezomib
Cohort 6EXPERIMENTALAMG 655 (high dose) with Vorinostat
Cohort 7EXPERIMENTALPart 2 - Mantle Cell Lymphoma subjects only: AMG 655 at dose TBD with Bortezomib
Cohort 3EXPERIMENTALAMG 655 (intermediate dose) with Bortezomib
Arm 2EXPERIMENTALLow Dose AMG 655 with paclitaxel/carboplatin
Arm 3PLACEBO_COMPARATORPlacebo with paclitaxel/carboplatin
Arm 1EXPERIMENTALAMG 655 High doseplus paclitaxel/carboplatin
AMG 655 Low DoseEXPERIMENTALAMG 655 (low dose) + mFOLFOX6 + Bevacizumab
PlaceboPLACEBO_COMPARATORPlacebo + mFOLFOX6 + Bevacizumab
AMG 655 High DoseEXPERIMENTALAMG 655 (high dose) + mFOLFOX6 + Bevacizumab

Interventions

NameTypeDescription
Modified FOLFOX6DRUGThe mFOLFOX6 regimen is a combination therapy of oxaliplatin 85 mg/m² administered as a 2-hour intravenous (IV) infusion on day 1 and leucovorin 400 mg/m² racemate or 200 mg/m² levo-leucovorin administered as a 2-hour infusion on day 1, followed by a loading dose of 5-fluorouracil (5-FU) 400 mg/m² IV bolus administered on day 1, then 5-FU 2400 mg/m² via ambulatory pump administered for a period of 46 to 48 hours every 14 days.
ConatumumabBIOLOGICALAdministered by intravenous infusion Q2W or Q3W.
GanitumabBIOLOGICALAdministered by intravenous infusion Q3W or Q4W.
BevacizumabBIOLOGICALAdministered at a dose of 5 mg/kg by intravenous infusion on day 1 of each 14 day cycle.
AMG 655DRUGAMG 655 is an investigational, fully human monoclonal agonist antibidy that selectively binds to Death Receptor-5 (DR-5).
VorinostatOTHERVorinostat, a second generation polarplanar compound, binds to the catalytic domain of the histone deacetylases (HDAC).
BortezomibOTHERA dipeptide boronic acid analogue with antineoplastic activity.
AMG 655 placeboOTHERInactive dummy AMG 655 (to maintain blind)
PlaceboOTHERInactive dummy AMG 655 (to maintain blind)
DoxorubicinDRUGAntineoplastic antibiotic obtained from Streptomyces peucetius. It is a hydroxy derivative of Daunorubicin.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * To be enrolled in this study, subjects must be currently enrolled in a prior Amgen-sponsored conatumumab or AMG 479 study and are eligible according to the parent study to receive their next dose of conatumumab (with or without co-therapy), or AMG 479 alone. Subjects must hav...

Countries:United StatesPolandSpain
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumors")

Frequently asked questions about Conatumumab

What is Conatumumab?

Conatumumab is an investigational monoclonal antibody developed by Amgen Inc. for the treatment of advanced solid tumors. It is an agonist antibody directed at TNFRSF10B. It has been studied in a Phase 2 clinical program and is not an approved therapy.

What does Conatumumab target?

Conatumumab targets TNFRSF10B, also known as death receptor 5, and acts as an agonist at that receptor. By binding and activating TNFRSF10B, the antibody is designed to trigger apoptotic signaling in tumor cells. This mechanism places it in the agonist antibody class.

Who makes Conatumumab?

Conatumumab is developed by Amgen Inc., which trades on the Nasdaq under the ticker AMGN. Amgen sponsored the clinical program evaluating the antibody in advanced solid tumors.

What phase is Conatumumab in?

Conatumumab is in Phase 2 development. It is an investigational agent and has not been approved by the FDA. The Phase 2 program includes one completed trial, and no trials are currently active.

What clinical trials is Conatumumab in?

Conatumumab has been evaluated in the completed Phase 2 trial NCT01327612, titled an open label extension study of conatumumab and ganitumab (AMG 479). That trial enrolled 12 participants across the United States, Poland, and Spain and studied advanced solid tumors, including carcinoid, colorectal cancer, lymphoma, non-small cell lung cancer, and sarcoma.

What is Conatumumab used for in advanced solid tumors?

Conatumumab was studied for advanced solid tumors, including carcinoid, colorectal cancer, locally advanced disease, lymphoma, metastatic cancer, non-small cell lung cancer, sarcoma, and other solid tumors. It remains investigational, and its Phase 2 trial in these conditions has been completed.