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AMG 479

Phase 3

Adenocarcinoma of the Pancreas | Small molecule | Oncology |ImmunityBio, Inc.|Last Updated: Oct 17, 2024

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment938

FDA Designations

No designations recorded

Clinical trial landscape

AMG 479 · 5 trials · 26 indications

Phase 3 1Phase 2 2Phase 1 2
NCT01231347QUILT-2.014: Gemcitabine and AMG 479 in Metastatic Adenocarcinoma of the PancreasAdenocarcinoma of the Pancreas
COMPLETED800 Analytics
PHASE3COMPLETED
QUILT-2.014: Gemcitabine and AMG 479 in Metastatic Adenocarcinoma of the Pancreas
Adenocarcinoma of the PancreasUnlock trial analytics

Study Endpoints

Primary Endpoints

Determine if the Treatment of AMG 479 at 12 mg/kg and/or 20 mg/kg in Combination With Gemcitabine Improves Overall Survival as Compared With Placebo in Combination With Gemcitabine in Subjects With Metastatic Adenocarcinoma of the Pancreas
From randomization up to 20 months

The primary endpoint of the study was OS, defined as the time from randomization to death.

Progression Free Survival (PFS)
Subject completing study will be contacted by the study staff by telephone or at routine clinic visits approximately every 3 months, up to approximately 3 years and 6 months.

PFS was defined as the time from randomization to the first observation of disease progression (as classified by modified RECIST), symptomatic deterioration or death due to any cause, whichever occurs first. Disease progression per RECIST is defined as at least a 20% increase in the sum of diameters of target lesions in reference to the smallest sum on study and an absolute increase of at least 5 mm; the appearance of any new lesions is also considered progression.

Objective response rate (Partial Response [PR] or Complete Response [CR]) as determined by RECIST
From screening to disease progression
Number of Participants With Dose Limiting Toxicities (DLTs; Phase 1b Portion Only)
28 days

The incidence of adverse events and clinical laboratory abnormalities defined as DLTs. A DLT was defined as any grade 3 or higher hematologic or non-hematologic toxicity related to any study treatment.

Six Month Overall Survival Rate (Phase 2 Portion Only)
6 months

The proportion of subjects alive at 6 months

To assess the safety, tolerability, and pharmacokinetic profiles of AMG 479 when used in combination with bevacizumab, sorafenib, panitumumab, erlotinib or gemcitabine in subjects with advanced solid tumors
3 years

Secondary Endpoints

Number of Participants With Adverse Events
30 days after the last dose of study treatment, up to 109 weeks
Cmax of AMG 479
Subject completing study will be contacted by the study staff by telephone or at routine clinic visits approximately every 3 months, up to approximately 3 years and 6 months.
Clinical Benefit and Objective Response Rate
Subject completing study will be contacted by the study staff by telephone or at routine clinic visits approximately every 3 months, up to approximately 3 years and 6 months.
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo + gemcitabinePLACEBO_COMPARATORArm 1: AMG 479-placebo IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle
AMG 479 12 mg/kg dose + gemcitabineEXPERIMENTALArm 2: AMG 479 12 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle
AMG 479 20 mg/kg + gemcitabineEXPERIMENTALArm 3: AMG 479 20 mg/kg IV days 1 and 15 plus gemcitabine 1000 mg/m2 IV days 1, 8, and 15 of a 28 day cycle
Arm A: AMG 479 12 mg/kg IV Q2W + Endocrine TherapyACTIVE_COMPARATOR -
Arm B: placebo IV Q2W + Endocrine TherapyPLACEBO_COMPARATOR -
Exploratory CohortEXPERIMENTALIf a total of two or more responses (partial and complete) in EFTs/DSRCTs are documented in this or the ongoing phase 1 study (20050118), then the study will allow enrollment of up to 10 additional EFT/DSRCT subjects who have been exposed to prior anti-IGF-1R targeting therapy.
Main CohortEXPERIMENTALSubjects with relapsed Ewing's Family Tumors (EFTs) and Desmoplastic Small Round Cell Tumors (DSRCTs) who have not received prior anti-IGF-1R therapy will receive AMG 479 at 12mg/kg.
Phase 1b AMG 655 3mg/kgEXPERIMENTALSubjects were treated with one of 2 dose levels of AMG 655 (3 mg/kg) with gemcitabine.
Phase 1b AMG 655 10mg/kgEXPERIMENTALSubjects were treated with one of 2 dose levels of AMG 655 (10 mg/kg) with gemcitabine.
Phase 2 AMG 655EXPERIMENTALSubjects were treated with the dose of AMG 655 (10mg/kg) in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 655 infusion on days 1 and 15 after completion of the gemcitabine infusion.
Phase 2 AMG 479EXPERIMENTALSubjects were treated with the dose of AMG 479 (12 mg/kg) in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 479 infusion on days 1 and 15 after completion of the gemcitabine infusion.
Phase 2 AMG 655-placeboPLACEBO_COMPARATORSubjects were treated with the dose of AMG 655-placebo in combination with gemcitabine. Gemcitabine (1000 mg/m2) was administered by intravenous infusion on days 1, 8 and 15 of each 28 day cycle followed by the AMG 655-placebo infusion on days 1 and 15 after completion of the gemcitabine infusion.
AMG 479 + Sorafenib cohortsEXPERIMENTALThe aim is to determine the safety, tolerability and PK of AMG 479 with sorafenib. AMG 479 will be given bi-weekly; sorafenib will be given daily.
AMG 479 + Erlotinib cohortsEXPERIMENTALThe aim is to determine the safety, tolerability and PK of AMG 479 with erlotinib. AMG 479 will be given bi-weekly; erlotinib will be given daily.

Interventions

NameTypeDescription
AMG 479DRUGAMG 479 12 mg/kg administered intravenously on days 1 and 15 of a 28 day cycle
PlaceboDRUGPlacebo administered intravenously on days 1 and 15 of a 28 day cycle
gemcitabineDRUGgemcitabine 1000mg/m2 administered intravenously on days 1, 8 and 15 of a 28 day cycle
AMG 655DRUGAMG 655 is a fully human monoclonal agonist antibody directed against TRAIL Receptor 2 (TR-2).
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites152

Inclusion Criteria: * Untreated metastatic adenocarcinoma of the pancreas * Adequate hematologic, renal and liver function * Eastern Cooperative Oncology Group (ECOG) 0 or 1 Exclusion Criteria: * Prior chemotherapy or radiotherapy for pancreatic cancer * Central nervous system metastases * Extern...

Countries:United StatesAustraliaAustriaBelgiumBrazilBulgariaCanadaCzechiaDenmarkFinlandFranceGermanyGreeceHong KongHungaryItalyJapanLithuaniaNetherlandsPolandPortugalRomaniaRussiaSerbiaSlovakiaSloveniaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited KingdomIreland
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Frequently asked questions about AMG 479

What is AMG 479 used for?

AMG 479 is an investigational oncology drug being studied for multiple cancer types, including adenocarcinoma of the pancreas, advanced malignancy, Askin's tumors, breast cancer, advanced solid tumors, and non-small cell lung cancer. It has been evaluated in clinical trials for pancreatic cancer and Ewing's family tumors.

Who makes AMG 479?

AMG 479 is being developed by ImmunityBio, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol IBRX. The drug is an investigational small molecule oncology therapy.

What phase is AMG 479 in?

AMG 479 has completed Phase 3 clinical development. It remains an investigational drug and is not approved by the FDA. The drug has completed two trials, including a Phase 3 study in metastatic pancreatic cancer.

What clinical trials is AMG 479 in?

AMG 479 has been studied in completed trials including NCT01231347, a Phase 3 study of gemcitabine plus AMG 479 in metastatic adenocarcinoma of the pancreas with 800 participants, and NCT00563680, a Phase 2 study in relapsed or refractory Ewing's family tumors.

Is AMG 479 the same as ganitumab?

AMG 479 is also known by the name ganitumab. It is an investigational drug being developed by ImmunityBio, Inc. for oncology indications including pancreatic cancer and advanced solid tumors.