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Tezepelumab

Phase 1

Asthma | Monoclonal antibody | Respiratory |Amgen Inc.|Last Updated: Oct 17, 2022

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment31

FDA Designations

No designations recorded

Clinical trial landscape

Tezepelumab · 3 trials · 3 indications

Phase 1 3
NCT01405963Double-blind, Multiple Dose Study of Tezepelumab (AMG 157) in Adults With Mild Atopic AsthmaAsthma
COMPLETED31 Analytics
NCT00972179Safety Study of Tezepelumab (AMG 157) in Healthy AdultsHealthy Volunteers
COMPLETED49 Analytics
NCT00757042Safety Study of Tezepelumab (AMG 157) in Healthy Adults and Adults With Atopic DermatitisAtopic Dermatitis
COMPLETED78 Analytics
PHASE1COMPLETED
Double-blind, Multiple Dose Study of Tezepelumab (AMG 157) in Adults With Mild Atopic Asthma
AsthmaUnlock trial analytics
PHASE1COMPLETED
Safety Study of Tezepelumab (AMG 157) in Healthy Adults
Healthy VolunteersUnlock trial analytics
PHASE1COMPLETED
Safety Study of Tezepelumab (AMG 157) in Healthy Adults and Adults With Atopic Dermatitis
Atopic DermatitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Percentage Decrease in Forced Expiratory Volume in 1 Second (FEV1) at 3 to 7 Hours Post Allergen Challenge
Days 42 and 84 at pre-allergen challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post allergen challenge

Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction (measured by a fall in FEV1). FEV1 was measured prior to the challenge and between 3 to 7 hours post allergen challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The maximum percent decrease in FEV1 from pre-allergen challenge is the percent change in FEV1 representing the largest percentage decrease (or minimum percentage increase) from pre-allergen challenge FEV1 during late (3-7 hour) asthmatic response time frame.

Time-Adjusted Area Under the Curve for the Percent Decrease From Pre-Allergen Challenge in Forced Expiratory Volume in 1 Second (FEV1) From 3 to 7 Hours Post Allergen Challenge
Days 42 and 84 at pre-challenge and at 180, 240, 300, 360, and 420 minutes (3-7 hours) post challenge

Participants underwent allergen inhalation challenge on study days 42 and 84 to induce airway bronchoconstriction. FEV1 was measured prior to the challenge and between 3 to 7 hours post challenge to assess late asthmatic response (LAR). The percent change in FEV1 from pre-challenge was calculated to each time point between 3 to 7 hours post challenge. The area under the curve for the percent change at each time point was calculated using the linear trapezoidal rule, then time adjusted by dividing by the length of time over which the AUC was calculated.

Number of Participants With Treatment-emergent Adverse Events
From first dose of study drug up to day 169

Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria: * 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; * other significant medical hazard.

Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment
For Q28D groups: Days 28, 56, 85, 113, and 169; For Q14D and Q7D groups: Days 29, 57, 85, 113, 141, and 169

All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported.

Number of Participants With Adverse Events
For Part A Tezepelumab/Placebo 2.1 mg, 7 mg, 21 mg, 70 mg, and 210 mg SC: 85 days. For Part A Tezepelumab/Placebo 420 mg SC, 210 mg IV, and 700 mg IV and Part B: 113 days

Adverse events (AEs) include any untoward medical occurrence in a trial participant administered a study drug and does not necessarily have a causal relationship with this treatment. AEs include worsening of a pre-existing medical condition and laboratory value changes requiring therapy or adjustment in prior therapy. AEs were assessed for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 3, where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = severe AE, Grade 4 = life-threatening AE and Grade 5 = death due to AE. Relationship to study treatment was determined by the investigator. A serious adverse event (SAE) is defined as an AE that met 1 or more of below criteria: * 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; * other significant medical hazard.

Number of Participants Who Developed Anti-tezepelumab Antibodies
Blood samples for the measurement of antibodies were collected on Days 29, 57, 85, and (for cohorts who received 420 mg Tezepelumab/placebo SC or any IV dose) 113.

All study samples (tezepelumab and placebo) were tested using an electrochemiluminescence (ECL) based immunoassay to detect and confirm the presence of antibodies capable of binding to tezepelumab. Samples identified as positive in the immunoassay were tested in a receptor-binding ECL-based assay to detect neutralizing or inhibitory effects toward tezepelumab. The number of participants with positive anti-tezepelumab binding antibodies / neutralizing antibodies at any time post-baseline with a negative or no result at baseline is reported.

Secondary Endpoints

Number of Participants With Adverse Events
Up to 169 days
Number of Participants With Grade ≥ 3 Laboratory Values
Up to 169 days
Number of Participants Who Developed Anti-tezepelumab Antibodies After Initiation of Treatment
Days 29, 57, 85, 113, and 169
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants received placebo to tezepelumab administered by intravenous infusion on study days 1, 29, and 57.
Tezepelumab 700 mgEXPERIMENTALParticipants received 700 mg tezepelumab administered by intravenous infusion on study days 1, 29, and 57.
TezepelumabEXPERIMENTALTezepelumab will be administered subcutaneously (SC) at doses from 35 mg once every 28 days (Q28D) (cohort 1) up to 210 mg once every 7 days (Q7D) (cohort 5) and an intravenous (IV) dose cohort of 700 mg Q28D (cohort 6).

Interventions

NameTypeDescription
PlaceboDRUGAdministered in a 1-hour intravenous infusion
TezepelumabBIOLOGICALAdministered in a 1-hour intravenous infusion
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Male or female subjects with history of mild atopic asthma between 18 and 60 years-of-age * Body mass index (BMI) between 18 and 35 kg/m\^2 * Normal or clinically acceptable physical examination (PE), clinical laboratory values, and electrocardiogram (ECG); clinically acceptab...

Countries:Canada
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Frequently asked questions about Tezepelumab

What is Tezepelumab used for?

Tezepelumab is an investigational monoclonal antibody being studied for chronic spontaneous urticaria, asthma, and atopic dermatitis. It has also been evaluated in healthy volunteers. Tezepelumab is not approved and remains in clinical development.

Who makes Tezepelumab?

Tezepelumab is being developed by Amgen Inc. (NASDAQ: AMGN). The company has sponsored clinical trials of the drug across multiple indications, including asthma, atopic dermatitis, and chronic spontaneous urticaria.

What phase is Tezepelumab in?

Tezepelumab is in clinical development. It has completed Phase 1 trials in healthy volunteers, atopic dermatitis, and asthma, and a Phase 2 trial in chronic spontaneous urticaria. Tezepelumab is investigational and not FDA approved.

What clinical trials is Tezepelumab in?

Tezepelumab has been studied in several completed trials: NCT00757042 in atopic dermatitis and healthy volunteers, NCT00972179 in healthy adults, NCT01405963 in mild atopic asthma, and NCT04833855 in chronic spontaneous urticaria. The chronic spontaneous urticaria trial enrolled 183 participants.

Is Tezepelumab the same as AMG 157?

Yes, Tezepelumab is also known as AMG 157. Clinical trial records refer to the drug as Tezepelumab (AMG 157), confirming that both names identify the same investigational monoclonal antibody.