AMG 732 for healthy volunteers and people with Thyroid Eye Disease
A Phase 1/2, Randomized, Double-Masked, Placebo-Controlled, Multicenter Study to Assess the Safety, Pharmacokinetics, and Efficacy of AMG 732 in Healthy Subjects and Subjects With Moderate-to-Severe Active Thyroid Eye Disease
This trial will test whether AMG 732 given by subcutaneous injection is safe in healthy volunteers and whether multiple doses help people with Thyroid Eye Disease.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Enrollment | 88 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Amgen Industry-sponsored |
| Drugs / interventions | teprotumumab |
| Locations | 30 sites (Little Rock, Arkansas and 29 other locations) |
| Trial ID | NCT06401044 on ClinicalTrials.gov |
What this trial studies
The study has a Phase 1 (Part A) single-dose, randomized, placebo-controlled arm in healthy adults to measure safety and tolerability after single subcutaneous injections. Phase 2 (Part B) is a randomized, placebo-controlled multiple-dose arm in participants with Thyroid Eye Disease to see if AMG 732 improves clinical signs and symptoms. Both parts include safety monitoring with labs, vital signs, ECGs, and eye assessments. Phase 1 recruitment is closed and Phase 2 will open at selected U.S. sites.
Who should consider this trial
Good fit: Ideal candidates are adults with active Thyroid Eye Disease who meet the protocol criteria, and healthy adults aged 18–55 in good health for the Phase 1 portion.
Not a fit: People with inactive or chronic stable TED, pregnant individuals, or those who do not meet the study's inclusion/exclusion criteria are unlikely to receive benefit from this trial.
Why it matters
Potential benefit: If successful, AMG 732 could reduce orbital inflammation and improve eye symptoms and function in people with Thyroid Eye Disease.
How similar studies have performed: Other biologic therapies such as teprotumumab have shown clear benefit in TED, but AMG 732 is a novel agent that has not yet demonstrated patient-level efficacy.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria for Part A/Phase 1 only: * Participant has provided informed consent before initiation of any study-specific activities/procedures. * Male or female aged 18 to 55 years (Part A). * Female participants must be of non-childbearing potential. * Body mass index (BMI) between 18 and 30 kg/m\^2, inclusive, at screening. * The participant has adequate venous access and can receive intravenous (IV) therapy. * The participant is considered by the investigator or designee to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead electrocardiogram (ECG) results, and physical examination findings at screening. * Healthy Japanese participants in cohort 4 only. Japanese participants must meet all the following as confirmed by interview: Descendants of 4 ethnic Japanese grandparents who were born in Japan; Both parents are ethnic Japanese who were born in Japan; Hold a Japanese passport or identity papers; Have lived outside Japan for less than 10 years at the time of screening and lifestyle including diet has not changed significantly since leaving Japan. Inclusion criteria for Part B/Phase 2 only: * Male or female aged 18 to 65 years. * Moderate-to-severe active TED. * The participant had onset of active TED within 15 months prior to baseline. * Clinical diagnosis of Graves' disease associated with active TED with a Clinical Activity Score (CAS)≥3 for the most severely affected eye at screening and baseline. * Proptosis ≥18mm in the study eye at baseline. * Participants with baseline subjective binocular diplopia score \>0. * Does not require immediate surgical ophthalmological intervention and is not planning corrective surgery/irradiation during the trial. Exclusion criteria for Part A and Part B: * Malignant condition in the past 12 months or major surgery within 8 weeks or plans to have an elective surgery from screening through end of study. * Active liver or kidney disfunction at screening. * Positive test for hepatitis B/C or Human immunodeficiency virus (HIV) serology at screening. * Glycated hemoglobin (HbA1c) \> 6.5% and/or fasting glucose levels\> 126 mg/dL (\> 7 mmol/L) at screening. * Use of any steroid (IV, oral, steroid eye drops) within 3 weeks prior to the first dose. Steroids cannot be initiated during the trial. Exceptions include topical and inhaled steroids and steroids used to treat injection related reactions or short course of steroid for asthma control. * Known hypersensitivity to teprotumumab or any other monoclonal antibody products. * History of substance abuse within 12 months before screening. * Donated blood, or had significant blood loss, or received a transfusion of any blood or blood products within 60 days prior to day 1 dosing or received a plasma donation within 7 days prior to day 1 dosing. Exclusion criteria for PartA/Phase 1 only • Blood pressure or ECG abnormalities at screening. Exclusion criteria for Part B/Phase 2 only: * Use of any steroid or other non-steroid immunosuppressive agent, monoclonal antibody, within 3 months prior to the first injection of study drug. * Use of teprotumumab or any other IGF-1R inhibitor. * Prior orbital irradiation or decompression in the study eye. * History or existing inflammatory bowel disease (ulcerative colitis or Crohn's disease). Other protocol-defined inclusion/exclusion criteria apply.
Where this trial is running
Little Rock, Arkansas and 29 other locations
- Applied Research Center of Arkansas — Little Rock, Arkansas, United States (Recruiting)
- Levenson Eye Associates — Jacksonville, Florida, United States (Recruiting)
- Ilumina Medical Research — Kissimmee, Florida, United States (Recruiting)
- Sarasota Retina Institute — Sarasota, Florida, United States (Recruiting)
- Vision Medical Research, Inc. — Orland Park, Illinois, United States (Recruiting)
- Ppd Las Vegas Research Unit — Las Vegas, Nevada, United States (Recruiting)
- Erie Retina Research — Erie, Pennsylvania, United States (Recruiting)
- Consano Clinical Research, LLC — Shavano Park, Texas, United States (Recruiting)
- West Virginia University — Morgantown, West Virginia, United States (Recruiting)
- Macquarie University — North Ryde, New South Wales, Australia (Recruiting)
- North Shore Private Hospital — St Leonards, New South Wales, Australia (Recruiting)
- Vancouver General Hospital — Vancouver, British Columbia, Canada (Recruiting)
- Centre Hospitalier Universitaire de Nantes - Hopital Nord Laennec — Nantes, France (Recruiting)
- Hopital Pitie-Salpetriere — Paris, France (Recruiting)
- Universitaetsklinikum Essen — Essen, Germany (Recruiting)
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico — Milan, Italy (Recruiting)
- Azienda Ospedaliero Universitaria Pisana — Pisa, Italy (Recruiting)
- Azienda Ospedaliero Universitaria Pisana — Pisa, Italy (Recruiting)
- Aichi Medical University Hospital — Nagakute-shi, Aichi-ken, Japan (Recruiting)
- Hayashi Eye Hospital — Fukuoka, Fukuoka, Japan (Recruiting)
- Kozawa Eye Hospital And Diabetes Center — Mito, Ibaraki, Japan (Recruiting)
- Profesorskie Centrum Medyczne Spolka z Ograniczona Odpowiedzialnoscia — Gdansk, Poland (Recruiting)
- Dc-Med Spolka z Ograniczona Odpowiedzialnoscia Spolka Komandytowa — Swidnica, Poland (Recruiting)
- Eb Group Spolka z ograniczona odpowiedzialnoscia — Warsaw, Poland (Recruiting)
- Singapore National Eye Centre — Singapore, Singapore (Recruiting)
- Hospital Universitario Virgen Macarena — Seville, Andalusia, Spain (Recruiting)
- Hospital Universitario Ramon y Cajal — Madrid, Spain (Recruiting)
- Hospital Universitari i Politecnic La Fe — Valencia, Spain (Recruiting)
- National Taiwan University Hospital — Taipei, Taiwan (Recruiting)
- Taipei Veterans General Hospital — Taipei, Taiwan (Recruiting)
Study contacts
- Study coordinator: Amgen Call Center
- Email: medinfo@amgen.com
- Phone: 866-572-6436
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.