Trial Outcomes & Findings for A Study to Evaluate the Efficacy and Safety of AMG 714 in Adult Patients With Celiac Disease (NCT NCT02637141)

NCT ID: NCT02637141

Last Updated: 2019-12-03

Results Overview

Attenuation of the effects of gluten exposure was assessed by measuring the percent change from baseline in villous height to crypt depth ratio after 10 weeks of gluten challenge. Villi are the small fingerlike projections that line the small intestine and promote nutrient absorption and are often shortened in patients with celiac disease. Crypts are grooves between the villi that are often elongated in patients with celiac disease. A decreased VH:CD ratio indicates worsening disease. Small bowel biopsies were performed at baseline and week 12; histological assessments were performed by a blinded central pathologist.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Baseline and week 12

Results posted on

2019-12-03

Participant Flow

This study was conducted at three sites in Finland.

Participants who met the study entry criteria were randomized at a 1:1:1 ratio to receive 150 mg or 300 mg AMG 714 or placebo once every 2 weeks for a total of 6 administrations over a period of 10 weeks. Randomization was stratified by study site and sex.

Participant milestones

Participant milestones
Measure
AMG 714 150 mg
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Overall Study
STARTED
22
22
20
Overall Study
Received Study Drug
22
21
19
Overall Study
COMPLETED
20
20
19
Overall Study
NOT COMPLETED
2
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
AMG 714 150 mg
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Overall Study
Adverse Event
1
1
0
Overall Study
Withdrawal by Subject
1
1
1

Baseline Characteristics

The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy samples) and received gluten challenge for at least 1 week.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AMG 714 150 mg
n=22 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=22 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=20 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
51.0 years
STANDARD_DEVIATION 15.5 • n=22 Participants
47.8 years
STANDARD_DEVIATION 15.1 • n=22 Participants
54.7 years
STANDARD_DEVIATION 14.9 • n=20 Participants
51.0 years
STANDARD_DEVIATION 15.2 • n=64 Participants
Age, Customized
18 - 64 years
17 Participants
n=22 Participants
20 Participants
n=22 Participants
12 Participants
n=20 Participants
49 Participants
n=64 Participants
Age, Customized
≥ 65 years
5 Participants
n=22 Participants
2 Participants
n=22 Participants
8 Participants
n=20 Participants
15 Participants
n=64 Participants
Sex: Female, Male
Female
16 Participants
n=22 Participants
17 Participants
n=22 Participants
14 Participants
n=20 Participants
47 Participants
n=64 Participants
Sex: Female, Male
Male
6 Participants
n=22 Participants
5 Participants
n=22 Participants
6 Participants
n=20 Participants
17 Participants
n=64 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=22 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
1 Participants
n=64 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
n=22 Participants
22 Participants
n=22 Participants
20 Participants
n=20 Participants
63 Participants
n=64 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=22 Participants
0 Participants
n=22 Participants
0 Participants
n=20 Participants
0 Participants
n=64 Participants
Race/Ethnicity, Customized
White
22 Participants
n=22 Participants
22 Participants
n=22 Participants
20 Participants
n=20 Participants
64 Participants
n=64 Participants
Small Intestinal Villous Height to Crypt Depth Ratio
2.12 ratio
STANDARD_DEVIATION 0.251 • n=15 Participants • The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy samples) and received gluten challenge for at least 1 week.
2.19 ratio
STANDARD_DEVIATION 0.343 • n=19 Participants • The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy samples) and received gluten challenge for at least 1 week.
2.19 ratio
STANDARD_DEVIATION 0.426 • n=15 Participants • The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy samples) and received gluten challenge for at least 1 week.
2.17 ratio
STANDARD_DEVIATION 0.341 • n=49 Participants • The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy samples) and received gluten challenge for at least 1 week.

PRIMARY outcome

Timeframe: Baseline and week 12

Population: The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy sample) and received gluten challenge for at least 1 week.

Attenuation of the effects of gluten exposure was assessed by measuring the percent change from baseline in villous height to crypt depth ratio after 10 weeks of gluten challenge. Villi are the small fingerlike projections that line the small intestine and promote nutrient absorption and are often shortened in patients with celiac disease. Crypts are grooves between the villi that are often elongated in patients with celiac disease. A decreased VH:CD ratio indicates worsening disease. Small bowel biopsies were performed at baseline and week 12; histological assessments were performed by a blinded central pathologist.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Percent Change From Baseline in Villous Height to Crypt Depth Ratio (VH:CD) at Week 12
-62.66 percent change
Standard Error 5.39
-53.78 percent change
Standard Error 4.83
-60.17 percent change
Standard Error 5.22

SECONDARY outcome

Timeframe: Baseline and week 12

Population: The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy sample) and received gluten challenge for at least 1 week.

Intraepithelial lymphocytes (IELS) are white blood cells interspersed between epithelial cells of the small and large intestine where they function to preserve the integrity of the mucosal barrier by protecting the epithelium against pathogen or immune-induced pathology. Increased intraepithelial lymphocytes is associated with celiac disease. Small bowel biopsies were performed at baseline and week 12; histological assessments were performed by a blinded central pathologist.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Percent Change From Baseline in Intraepithelial Lymphocyte Density at Week 12
95.14 percent change
Standard Error 15.06
68.22 percent change
Standard Error 13.64
109.46 percent change
Standard Error 14.65

SECONDARY outcome

Timeframe: Baseline and week 12

Population: The per protocol 1 (PP1) population included randomized participants who received at least 1 dose of study drug, were histologically evaluable (provided a post-treatment biopsy sample) and received gluten challenge for at least 1 week.

The Marsh classification system describes the stages of damage in the small intestine as seen under a microscope, with possible values of 0, 1, 2, 3a, 3b, or 3c. A score of 0 (best score) indicates that the intestinal lining is normal and celiac disease highly unlikely, a score of 3c (worst score) indicates increased intraepithelial lymphocytes, increased crypt hyperplasia and complete villi atrophy. Improvement is defined as a lower grade on the Marsh score scale compared to baseline.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Number of Participants With Improvement in Marsh Score at Week 12
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and week 12

Population: Per protocol 1 population with available data

Levels of anti-tTG IgA antibodies in serum were determined using an enzyme-linked immunosorbent assay (ELISA) immunoassay.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=18 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Percent Change From Baseline in Anti-Tissue Transglutaminase (tTG) Immunoglobulin A (IgA) Antibodies at Week 12
5019.77 percent change
Standard Error 1482.59
1562.42 percent change
Standard Error 784.83
617.53 percent change
Standard Error 866.44

SECONDARY outcome

Timeframe: Baseline and week 12

Population: Per protocol 1 population with available data

Levels of serum anti-DGP antibodies (immunoglobulin A \[IgA\] and immunoglobulin G \[IgG\]) were determined using ELISA immunoassay.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=18 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Change From Baseline in Anti-Deamidated Gliadin Peptide (DGP) Antibodies at Week 12
Immunoglobulin A
43.19 kU/L
Standard Error 12.85
18.47 kU/L
Standard Error 10.70
25.38 kU/L
Standard Error 11.44
Change From Baseline in Anti-Deamidated Gliadin Peptide (DGP) Antibodies at Week 12
Immunoglobulin G
28.29 kU/L
Standard Error 21.45
17.98 kU/L
Standard Error 14.57
15.12 kU/L
Standard Error 16.02

SECONDARY outcome

Timeframe: Baseline and week 12

Population: Per protocol 1 population with available data

Participants were asked to record every bowel movement during the study using an electronic diary. If no bowel movements were experienced on any given day, the participant was required to document this using the electronic diary.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=14 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Number of Weekly Bowel Movements at Baseline and Week 12
Week 12
9.3 bowel movements per week
Standard Deviation 2.58
11.5 bowel movements per week
Standard Deviation 5.25
11.6 bowel movements per week
Standard Deviation 3.99
Number of Weekly Bowel Movements at Baseline and Week 12
Baseline
8.9 bowel movements per week
Standard Deviation 3.66
10.2 bowel movements per week
Standard Deviation 3.96
9.6 bowel movements per week
Standard Deviation 2.92

SECONDARY outcome

Timeframe: Baseline and week 12

Population: Per protocol 1 population

The Bristol Stool Form Scale (BSFS) is a pictorial aid to help study participants identify the shape and consistency of their bowel movements. Participants were asked to complete this form daily using an electronic diary at the time of each bowel movement. The BSFS categorizes bowel movements into 7 types, from Type 1 (separate hard lumps, like nuts; hard to pass) to Type 7 (watery, no solid pieces, entirely liquid). Diarrhoea was defined as at least one BSFS score \>= 6 for the given week.

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=15 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Number of Participants With Diarrhoea at Baseline and Week 12
Baseline
4 Participants
9 Participants
7 Participants
Number of Participants With Diarrhoea at Baseline and Week 12
Week 12
1 Participants
5 Participants
6 Participants

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: Per protocol 1 population with available data

The GSRS is a 15-question 7-scale questionnaire used to assess 5 dimensions of gastrointestinal syndromes: diarrhea, indigestion, constipation, abdominal pain, and reflux. Questions are scored between 1 (no discomfort at all) and 7 (very severe discomfort). The total GSRS score is calculated as the sum of the scores of all 15 questions, and ranges from 15 (no discomfort at all) to 105 (very severe discomfort in all 5 dimensions of gastrointestinal syndromes).

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=14 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Percent Change From Baseline in Total Weekly Gastrointestinal Symptom Rating Scale (GSRS) Score at Week 12
4.14 percent change
Standard Error 9.01
14.96 percent change
Standard Error 8.17
17.58 percent change
Standard Error 8.93

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: Per protocol 1 population with available data

The CeD-GSRS score is derived from a subset of questions from the GSRS questionnaire, including the diarrhea, indigestion, and abdominal pain domains (a total of 10 questions), which are each assessed on a scale of 1 (no discomfort at all) to 7 (very severe discomfort). The total CeD-GSRS score is calculated as the sum of the scores of all 10 questions, and ranges from 10 (no discomfort at all) to 70 (very severe discomfort in all celiac syndromes).

Outcome measures

Outcome measures
Measure
AMG 714 150 mg
n=15 Participants
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
AMG 714 300 mg
n=19 Participants
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=14 Participants
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Change From Baseline in Total Celiac Disease GSRS (CeD-GSRS) Score at Week 12
0.65 units on a scale
Standard Error 1.52
1.77 units on a scale
Standard Error 1.37
3.41 units on a scale
Standard Error 1.52

Adverse Events

150 mg AMG 714

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

300 mg AMG 714

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
150 mg AMG 714
n=22 participants at risk
Participants received 150 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
300 mg AMG 714
n=21 participants at risk
Participants received 300 mg AMG 714 via subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Placebo
n=19 participants at risk
Participants received placebo subcutaneous injection once every 2 weeks for a total of 6 doses over 10 weeks from day 0. Participants received gluten-free cookies twice a day for the first 2 weeks and gluten-containing cookies twice a day from weeks 2 to 12 (gluten-challenge).
Blood and lymphatic system disorders
Anaemia
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Blood and lymphatic system disorders
Neutropenia
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Cardiac disorders
Palpitations
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Ear and labyrinth disorders
Ear pain
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Eye disorders
Eye pain
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Eye disorders
Ocular hyperaemia
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Eye disorders
Photopsia
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Abdominal discomfort
9.1%
2/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Abdominal distension
31.8%
7/22 • From first dose of study drug until week 16
19.0%
4/21 • From first dose of study drug until week 16
31.6%
6/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Abdominal pain
4.5%
1/22 • From first dose of study drug until week 16
14.3%
3/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Abdominal pain upper
4.5%
1/22 • From first dose of study drug until week 16
23.8%
5/21 • From first dose of study drug until week 16
21.1%
4/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Aphthous ulcer
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Constipation
13.6%
3/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Diarrhoea
22.7%
5/22 • From first dose of study drug until week 16
38.1%
8/21 • From first dose of study drug until week 16
31.6%
6/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Dyspepsia
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Faeces soft
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Flatulence
13.6%
3/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Frequent bowel movements
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Gastrointestinal pain
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Gastrooesophageal reflux disease
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Haemorrhoidal haemorrhage
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Lip blister
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Nausea
31.8%
7/22 • From first dose of study drug until week 16
19.0%
4/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Oesophagitis
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Oral disorder
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Oral pruritus
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Regurgitation
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Stomatitis
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Tongue disorder
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Tongue eruption
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Toothache
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Gastrointestinal disorders
Vomiting
0.00%
0/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
15.8%
3/19 • From first dose of study drug until week 16
General disorders
Chest pain
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
General disorders
Chills
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
General disorders
Fatigue
9.1%
2/22 • From first dose of study drug until week 16
23.8%
5/21 • From first dose of study drug until week 16
26.3%
5/19 • From first dose of study drug until week 16
General disorders
Impaired healing
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
General disorders
Injection site reaction
36.4%
8/22 • From first dose of study drug until week 16
52.4%
11/21 • From first dose of study drug until week 16
26.3%
5/19 • From first dose of study drug until week 16
General disorders
Mucosal dryness
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
General disorders
Oedema peripheral
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
General disorders
Pyrexia
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Infections and infestations
Conjunctivitis
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Gastroenteritis
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Gingivitis
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Herpes simplex
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Infections and infestations
Influenza
13.6%
3/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Infections and infestations
Nasopharyngitis
22.7%
5/22 • From first dose of study drug until week 16
33.3%
7/21 • From first dose of study drug until week 16
36.8%
7/19 • From first dose of study drug until week 16
Infections and infestations
Oral herpes
0.00%
0/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Rhinitis
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Sinusitis
4.5%
1/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Infections and infestations
Urinary tract infection
9.1%
2/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Infections and infestations
Vulvovaginal mycotic infection
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Injury, poisoning and procedural complications
Procedural headache
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Injury, poisoning and procedural complications
Thermal burn
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Injury, poisoning and procedural complications
Tooth fracture
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Injury, poisoning and procedural complications
Wound complication
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Alanine aminotransferase increased
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Investigations
Aspartate aminotransferase increased
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Investigations
Blood albumin decreased
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Blood albumin increased
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Blood alkaline phosphatase increased
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Investigations
Blood calcium increased
0.00%
0/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Blood phosphorus increased
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Investigations
Blood potassium increased
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Investigations
Body temperature decreased
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Hepatic enzyme increased
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Investigations
Neutrophil count decreased
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
Neutrophil count increased
4.5%
1/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
White blood cell count increased
4.5%
1/22 • From first dose of study drug until week 16
14.3%
3/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Investigations
White blood cells urine positive
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Metabolism and nutrition disorders
Decreased appetite
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Arthralgia
4.5%
1/22 • From first dose of study drug until week 16
19.0%
4/21 • From first dose of study drug until week 16
15.8%
3/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Back pain
4.5%
1/22 • From first dose of study drug until week 16
9.5%
2/21 • From first dose of study drug until week 16
15.8%
3/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Joint swelling
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Pain in extremity
4.5%
1/22 • From first dose of study drug until week 16
14.3%
3/21 • From first dose of study drug until week 16
15.8%
3/19 • From first dose of study drug until week 16
Musculoskeletal and connective tissue disorders
Temporomandibular joint syndrome
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Nervous system disorders
Dizziness
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Nervous system disorders
Headache
18.2%
4/22 • From first dose of study drug until week 16
33.3%
7/21 • From first dose of study drug until week 16
42.1%
8/19 • From first dose of study drug until week 16
Nervous system disorders
Migraine
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Nervous system disorders
Paraesthesia
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Nervous system disorders
Polyneuropathy
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Nervous system disorders
Presyncope
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Nervous system disorders
Tremor
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Psychiatric disorders
Anxiety
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Psychiatric disorders
Insomnia
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Renal and urinary disorders
Haematuria
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Reproductive system and breast disorders
Vulvovaginal dryness
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Reproductive system and breast disorders
Vulvovaginal pruritus
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Nasal congestion
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.5%
1/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Pharyngeal oedema
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Respiratory, thoracic and mediastinal disorders
Tonsillolith
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Blister
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Eczema
18.2%
4/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Pain of skin
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Pruritus
13.6%
3/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Pruritus generalised
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Rash
18.2%
4/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
5.3%
1/19 • From first dose of study drug until week 16
Surgical and medical procedures
Lipoma excision
4.5%
1/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Vascular disorders
Haematoma
0.00%
0/22 • From first dose of study drug until week 16
0.00%
0/21 • From first dose of study drug until week 16
10.5%
2/19 • From first dose of study drug until week 16
Vascular disorders
Hypertension
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16
Vascular disorders
Temporal arteritis
0.00%
0/22 • From first dose of study drug until week 16
4.8%
1/21 • From first dose of study drug until week 16
0.00%
0/19 • From first dose of study drug until week 16

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER