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Trebananib /kg

Phase 1

Neoplasms, Advanced Solid | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Sep 22, 2015

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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment18
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02525536A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of Trebananib (AMG 386 ) in Adult Japanese Participants With Advanced Solid TumorsPHASE1 COMPLETED 18Jun 1, 2009May 1, 2014Sep 22, 2015 -
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Study Endpoints
Primary Endpoints
Number of Participants With Dose Limiting Toxicity (DLT)
Day 1 up to Day 28

DLT is defined as any treatment-related, grade 4 or higher hematologic or grade 3 or higher non-hematologic toxicity (according to the Common Terminology Criteria for Adverse Events \[CTCAE\] version 3.0; hematologic toxicity means any toxicities which are categorized in blood/bone marrow category of CTCAE), except for aspartate aminotransferase (AST), alanine aminotransferase (ALT) and infusion reaction, occurred during the first 28 days after the initial administration (before examination on Study Day 29). DLT also includes AST or ALT: \>10\*upper limit of normal (ULN) international units per liter (IU/L).

Number of Participants Reporting One or More Treatment-emergent Adverse Events (AEs) and Serious Adverse Event (SAEs)
Baseline up to 4 weeks after the last dose of study drug, where last dose was given up to Week 249

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. Treatment emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; or congenital anomaly; or a medically important event.

Number of Participants With Significant Change From Baseline in Electrocardiogram (ECG)
Week 1: predose, 1, 6 hours after end of infusion, Week 4: predose, 1 hour after end of infusion, Week 8, 16: predose, thereafter predose of every 8 weeks up to 4 weeks after the last dose of study drug, where last dose was given up to Week 249

Change relative to baseline in electrocardiogram measured throughout study. Significant change in ECG observed at any time point was summarized and reported.

Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Week 1: predose, 1, 2, 6, 24, 48 and 96 hours after infusion end, Week 2, 3, 4: predose and 1 hour after infusion end, thereafter predose of every 4 weeks starting from Week 8 up to 4 weeks after the last dose of study drug (last dose=Week 249)

Vital signs included body temperature, diastolic and systolic blood pressure, and pulse (beats per minutes). clinically significant change in vital signs observed at any time point was summarized and reported.

Number of Participants With Abnormal Laboratory Values
Week 1: predose, 24, 48 and 96 hours after infusion end, Week 2 and 3: predose, Week 4: predose and 1 hour after infusion end, thereafter every 4 weeks starting from Week 8 up to 4 weeks after the last dose of study drug (last dose=Week 249)

The number of participants with any abnormal standard safety laboratory values collected throughout study. Parameters assessed were hematology, chemistry, coagulation and urinalysis. Abnormal laboratory values observed at any time point was summarized and reported.

Cmax: Maximum Observed Serum Concentration for AMG 386 After Week 1 Dose
Week 1: predose, 1, 2, 6, 24, 48 and 96 hours after end of infusion, Week 2: predose

Maximum observed serum concentration (Cmax) is the peak serum concentration of a drug after administration, obtained directly from the serum concentration-time curve.

Cmax: Maximum Observed Serum Concentration for AMG 386 After Week 4 Dose
Week 4: predose, 1, 2, 6, 24, 48, 96, 168 and 264 hours after end of infusion

Cmax is the peak serum concentration of a drug after administration, obtained directly from the serum concentration-time curve.

Tmax: Time to Reach the Maximum Serum Concentration (Cmax) for AMG 386 After Week 1 Dose
Week 1: predose, 1, 2, 6, 24, 48 and 96 hours after end of infusion, Week 2: predose

Tmax is the time to reach the maximum serum concentration (Cmax), equal to time (hours) to Cmax.

Tmax: Time to Reach the Maximum Serum Concentration (Cmax) for AMG 386 After Week 4 Dose
Week 4: predose, 1, 2, 6, 24, 48, 96, 168 and 264 hours after end of infusion

Tmax is the time to reach the maximum serum concentration (Cmax), equal to time (hours) to Cmax.

AUC (0-tau): Area Under the Serum Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for AMG 386 After Week 1 Dose
Week 1: predose, 1, 2, 6, 24, 48 and 96 hours after end of infusion, Week 2: predose

AUC (0-tau) is the area under the serum concentration-time curve during a dosing interval, where tau is the length of the dosing interval (168 hours for once weekly regimen).

AUC (0-tau): Area Under the Serum Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for AMG 386 After Week 4 Dose
Week 4: predose, 1, 2, 6, 24, 48, 96, and 168 hours after end of infusion

AUC (0-tau) is the area under the serum concentration-time curve during a dosing interval, where tau is the length of the dosing interval (168 hours for once weekly regimen).

Cmin: Minimum Observed Serum Trough Concentration for AMG 386 After Week 1 Dose
Week 2: predose

Cmin was the observed serum concentration at 168 hours postdose.

Cmin: Minimum Observed Serum Trough Concentration for AMG 386 After Week 4 Dose
Week 4: 168 hours after end of infusion

Cmin was the observed serum concentration at 168 hours postdose.

Vss: Volume of Distribution at Steady State for AMG 386
Week 4: predose, 1, 2, 6, 24, 48, 96, 168 and 264 hours after end of infusion

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss is the apparent volume of distribution at steady-state, estimated as: Vss = MRTinf \*CLss, where MRTinf is mean residence time of drug extrapolated to infinity and CLss is the systemic clearance at the steady state. Vss was normalized to participant's body weight.

Terminal Phase Elimination Half-life (T1/2) for AMG 386
Week 4: predose, 1, 2, 6, 24, 48, 96, 168 and 264 hours after end of infusion

Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the serum.

Systemic Clearance at Steady State (CLss) for AMG 386
Week 4: predose, 1, 2, 6, 24, 48, 96 and 168 hours after end of infusion

CL is a quantitative measure of the rate at which a drug substance is removed from the body. Systemic clearance at steady state (CLss) was calculated as the ratio of dose administered to AUC (0 - tau), where AUC (0 - tau) is the area under the serum concentration-time curve during a dosing interval, where tau is the length of the dosing interval (168 hours for once weekly regimen). CLss was normalized to participant's body weight.

Accumulation Ratio (AR) for AMG 386
Week 1: predose, 1, 2, 6, 24, 48 and 96 hours after end of infusion, Week 2: predose, Week 4: predose, 1, 2, 6, 24, 48, 96, and 168 hours after end of infusion

Accumulation ratio (AR) was calculated by dividing the individual AUC (0-tau) value at Week 4 by the corresponding individual AUC (0-tau) value at Week 1.

Secondary Endpoints
Number of Participants With Best Overall Response
Baseline, assessed every 8 weeks up to 4 weeks after the last dose of study drug, where last dose was given up to Week 249
Percentage of Participants With Objective Response
Baseline, assessed every 8 weeks up to 4 weeks after the last dose of study drug, where last dose was given up to Week 249
Time to Progression (TTP)
Baseline, assessed every 8 weeks up to 4 weeks after the last dose of study drug, where last dose was given up to Week 249
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Trebananib 3 mg/kgEXPERIMENTALTrebananib (AMG 386) 3 milligram/kilogram (mg/kg), 60-minute infusion, intravenously once weekly on Days 1, 8, 15 and 22 and thereafter once weekly starting from Day 36 (Week 6) until intolerance to investigational product, progressive disease, consent withdrawn, or lost to follow-up (up to approximately 249 weeks).
Trebananib 10 mg/kgEXPERIMENTALTrebananib (AMG 386) 10 mg/kg, 60-minute infusion, intravenously once weekly on Days 1, 8, 15 and 22 and thereafter once weekly starting from Day 36 (Week 6) until intolerance to investigational product, progressive disease, consent withdrawn, or lost to follow-up (up to approximately 249 weeks).
Trebananib 30 mg/kgEXPERIMENTALTrebananib (AMG 386) 30 mg/kg, 60-minute infusion, intravenously once weekly on Days 1, 8, 15 and 22 and thereafter once weekly starting from Day 36 (Week 6) until intolerance to investigational product, progressive disease, consent withdrawn, or lost to follow-up (up to approximately 249 weeks).
Interventions
NameTypeDescription
Trebananib 3 mg/kgDRUGTrebananib (AMG 386) 3 mg/kg, intravenous infusion.
Trebananib 10 mg/kgDRUGTrebananib (AMG 386) 10 mg/kg, intravenous infusion.
Trebananib 30 mg/kgDRUGTrebananib (AMG 386) 30 mg/kg, intravenous infusion.
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Eligibility Criteria
Age Range20 Years — 74 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Histologically or cytologically documented and definitively diagnosed, advanced solid tumor that is refractory to standard treatment or for which no curative therapy is available. 2. Has Eastern Cooperative Oncology Group (ECOG) of 0 or 1 (within 2 weeks prior to enrollment). ...

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