A Study to Evaluate Safety and Efficacy of AMB-05X Injections in Subjects With TGCT
A Phase 2, Open-Label, Adaptive, Dose-Ranging Study With Long-Term Extension to Evaluate the Safety, Tolerability, Efficacy, and Pharmacokinetics of Intra Articular AMB-05X Injections in Subjects With Tenosynovial Giant Cell Tumor
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Tiffany Nguyen
- Phone Number: 6502856560
- Email: clinical@ammaxbio.com
Study Locations
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Camperdown, Australia
- AmMax Bio, Clinical Site
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Woolloongabba, Australia
- AmMax Bio, Clinical Site
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Leiden, Netherlands
- AmMax Bio, Clinical Site
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California
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Sacramento, California, United States, 95817
- AmMax Bio, Clinical Site
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Florida
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Miami, Florida, United States, 33136
- AmMax Bio, Clinical Site
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Texas
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Houston, Texas, United States, 77030
- AmMax Bio, Clinical Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject ≥ 18 years
- TGCT with only 1 joint involvement
- Symptomatic Measurable disease of at least 1 cm based on RECIST v1.1
- Stable prescription of analgesic regimen
- Agrees to follow contraception guidelines
- Women of childbearing potential must have a negative pregnancy test
- Adequate hematologic, hepatic, and renal function
Exclusion Criteria:
- Prior investigational drug use within 4 weeks or 5 half-lives of Baseline
- Previous use of therapeutics targeting CSF1 or CSF1R or oral tyrosine kinase inhibitors within 3 months prior to Baseline
- History of extensive or reconstructive surgery on the affected joint
- Active cancer (either currently or within 3 mo before Baseline) that requires/required therapy (e.g., surgery, chemotherapy, or radiation therapy)
- Metastatic or malignant transformation of TGCT
- Hepatitis C virus (HCV) or hepatitis B virus (HBV) or human immunodeficiency virus (HIV)
- Known active tuberculosis
- Significant concomitant arthropathy in the affected joint, serious illness, uncontrolled infection, or a medical or psychiatric history
- Women who are breastfeeding
- A screening Fridericia-corrected QT interval (QTcF) ≥ 470 ms
- MRI contraindications (e.g., pacemaker, loose metallic implants)
- History of hypersensitivity to any ingredient of the study drug
- History of drug or alcohol abuse within 3 months before baseline
- Any other severe acute or chronic medical or psychiatric condition or clinically significant laboratory abnormality that may increase the risk associated with study participation/treatment or interfere with interpretation of study results and, in the Investigator's opinion, make the subject inappropriate for this study
- Subjects who, in the Investigator's opinion, should not participate in the study for any reason, including if there is a question about their ability to comply with study requirements
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: AMB-05X
Subjects will receive an injection of AMB-05X once every 4 weeks for 24 weeks (for 6 treatments total).
Based on ongoing review of the available safety, PK, PD, and efficacy data, the Sponsor may either increase or decrease the dose.
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A fully human monoclonal immunoglobulin (IgG2) directed against c-fms
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Treatment-emergent adverse events
Time Frame: Part 1 Week 24 and Part 2 Week 72
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Frequency and severity of reported treatment-emergent adverse events
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Part 1 Week 24 and Part 2 Week 72
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Objective Response Rate - Part 1
Time Frame: Part 1 Week 24
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Proportion of subjects who achieve an OR (objective response rate [ORR]) by central radiology review per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 1 Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate
Time Frame: Part 2 Week 72
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Proportion of subjects who achieve an OR (objective response rate [ORR]) by central radiology review per modified Response Evaluation Criteria in Solid Tumors
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Part 2 Week 72
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Objective Response Rate (AMB-051-01 subjects)
Time Frame: Part 2 Week 72
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Proportion of re-treated subjects who achieve an OR (objective response rate [ORR]) by central radiology review per modified Response Evaluation Criteria in Solid Tumors (RECIST v1.1)
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Part 2 Week 72
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Objective Response Rate (ORR) per modified Response Evaluation Criteria in Solid Tumors Version 1.1
Time Frame: Part 1 Week 24
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Proportion of subjects who achieve an overall response (OR) per modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 1 Week 24
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Objective Response Rate (ORR) per modified Response Evaluation Criteria in Solid Tumors Version 1.1
Time Frame: Part 2 Week 72
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Proportion of subjects who achieve an overall response (OR) per modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 2 Week 72
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Tumor response based on tumor volume score (TVS)
Time Frame: Part 1 Week 24
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Proportion of subjects who achieve an overall tumor response (OR) per the tumor volume score
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Part 1 Week 24
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Tumor response based on tumor volume score (TVS)
Time Frame: Part 2 Week 72
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Proportion of subjects who achieve an overall tumor response (OR) per the tumor volume score
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Part 2 Week 72
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Duration of Response by Response Evaluation Criteria in Solid Tumors
Time Frame: Part 1 Week 24
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Median duration of response per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 1 Week 24
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Duration of Response by Response Evaluation Criteria in Solid Tumors v1.1
Time Frame: Part 2 Week 72
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Median duration of response per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 2 Week 72
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Duration of Response by Modified Response Evaluation Criteria in Solid Tumors
Time Frame: Part 1 Week 24
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Median duration of response per modified Response Evaluation Criteria in Solid Tumors (modified RECIST)
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Part 1 Week 24
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Duration of Response by Modified Response Evaluation Criteria in Solid Tumors
Time Frame: Part 2 Week 72
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Median duration of response per modified Response Evaluation Criteria in Solid Tumors (modified RECIST)
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Part 2 Week 72
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Duration of Response by tumor volume score
Time Frame: Part 1 Week 24
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Median duration of response per tumor volume score (TVS)
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Part 1 Week 24
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Duration of Response by tumor volume score
Time Frame: Part 2 Week 72
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Median duration of response per tumor volume score (TVS)
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Part 2 Week 72
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Time to Response by Response Evaluation Criteria in Solid Tumors
Time Frame: Part 1 Week 24
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Time to response (TTR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 1 Week 24
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Time to Response by Response Evaluation Criteria in Solid Tumors
Time Frame: Part 2 Week 72
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Time to response (TTR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 2 Week 72
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Time to Response by Modified Response Evaluation Criteria in Solid Tumors
Time Frame: Part 1 week 24
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Time to response (TTR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Part 1 week 24
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Time to Response by Modified Response Evaluation Criteria in Solid Tumors
Time Frame: Part 2 Week 72
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Time to response (TTR) per modified Response Evaluation Criteria in Solid Tumors (modified RECIST)
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Part 2 Week 72
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Time to Response per tumor volume score
Time Frame: Part 1 Week 24
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Time to response (TTR) per tumor volume score (TVS)
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Part 1 Week 24
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Time to Response per tumor volume score
Time Frame: Part 2 Week 72
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Time to response (TTR) per tumor volume score (TVS)
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Part 2 Week 72
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Mean change from Baseline in joint range of motion (ROM)
Time Frame: Part 1 Week 24
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Mean change in joint range of motion (ROM) will be assessed by qualified assessors.
Measurements will be recorded in degrees.
At baseline, the plane of movement with the smallest (worst) relative value will be identified; only this plane will be used for evaluating change in ROM subsequently.
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Part 1 Week 24
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Mean change from Baseline in joint range of motion (ROM)
Time Frame: Part 2 Week 72
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Mean change in joint range of motion (ROM) will be assessed by qualified assessors.
Measurements will be recorded in degrees.
At baseline, the plane of movement with the smallest (worst) relative value will be identified; only this plane will be used for evaluating change in ROM subsequently.
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Part 2 Week 72
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Mean change from Baseline in the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function score
Time Frame: Part 1 Week 24
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The Patient-Reported Outcomes Measurement Information System (PROMIS) is a 10-question patient reported outcome instrument used to assess physical functioning based on use of the upper extremities (dexterity), lower extremities (walking or mobility), and central regions (neck, back) and on instrumental activities of daily living.
Five questions address the degree to which subject's health limits activities; subjects select responses ranging from 1-cannot do to 5 - not at all.
Five additional questions address the degree to which the subject is able to perform certain physical activities, and subjects select a response to each question that ranges from 1 ("cannot do") to 5 ("without any difficulty").
Raw scores are summarized, score range is 10 to 50.
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Part 1 Week 24
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Mean change from Baseline in the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function score
Time Frame: Part 2 Week 72
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The Patient-Reported Outcomes Measurement Information System (PROMIS) is a 10-question patient reported outcome instrument used to assess physical functioning based on use of the upper extremities (dexterity), lower extremities (walking or mobility), and central regions (neck, back) and on instrumental activities of daily living.
Five questions address the degree to which subject's health limits activities; subjects select responses ranging from 1-cannot do to 5 - not at all.
Five additional questions address the degree to which the subject is able to perform certain physical activities, and subjects select a response to each question that ranges from 1 ("cannot do") to 5 ("without any difficulty").
Raw scores are summarized, score range is 10 to 50.
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Part 2 Week 72
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Mean change from Baseline in Worst Stiffness Numeric Rating Scale score
Time Frame: Part 1 Week 24
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The Worst Stiffness Numeric Rating Scale (NRS) is a 1-item, self-administered questionnaire assessing the "worst" stiffness within the last 24 hours.
The NRS for this item ranges from 0 (no stiffness) to 10 (stiffness as bad as you can imagine).
Higher scores indicate worst stiffness.
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Part 1 Week 24
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Mean change from Baseline in Worst Stiffness Numeric Rating Scale score
Time Frame: Part 2 Week 72
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The Worst Stiffness Numeric Rating Scale (NRS) is a 1-item, self-administered questionnaire assessing the "worst" stiffness within the last 24 hours.
The NRS for this item ranges from 0 (no stiffness) to 10 (stiffness as bad as you can imagine).
Higher scores indicate worst stiffness.
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Part 2 Week 72
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Mean change from Baseline in the Brief Pain Inventory (BPI) score
Time Frame: Part 1 Week 24
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Brief Pain Inventory (BPI) Short Form is a self-administered questionnaire used to evaluate the severity of a subject's pain and the impact of this pain on the subject's daily functioning.
The subject is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a scale from 0 ="no pain" to 10= "pain as bad as you can imagine".
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Part 1 Week 24
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Mean change from Baseline in the Brief Pain Inventory (BPI) score
Time Frame: Part 2 Week 72
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Brief Pain Inventory (BPI) Short Form is a self-administered questionnaire used to evaluate the severity of a subject's pain and the impact of this pain on the subject's daily functioning.
The subject is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a scale from 0 ="no pain" to 10="pain as bad as you can imagine".
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Part 2 Week 72
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Decrease of at least 30% in mean Brief Pain Inventory (BPI) from Baseline
Time Frame: Part 1 Week 24
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Brief Pain Inventory (BPI) Short Form is a self-administered questionnaire used to evaluate the severity of a subject's pain and the impact of this pain on the subject's daily functioning.
The subject is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a scale from 0 ="no pain" to 10="pain as bad as you can imagine".
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Part 1 Week 24
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Decrease of at least 30% in mean Brief Pain Inventory (BPI) from Baseline
Time Frame: Part 2 Week 72
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Brief Pain Inventory (BPI) Short Form is a self-administered questionnaire used to evaluate the severity of a subject's pain and the impact of this pain on the subject's daily functioning.
The subject is asked to rate their worst, least, average, and current pain intensity, list current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a scale from 0 ="no pain" to 10="pain as bad as you can imagine".
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Part 2 Week 72
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Mean change from Baseline in Patient-Reported Outcomes Measurement Information System Pain Interference score
Time Frame: Part 1 Week 24
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The Patient-Reported Outcomes Measurement Information System (PROMIS) Item Bank v1.1 Pain Interference Short Form 8a, is an 8 question instrument used to evaluate how much a subject's pain interferes with daily functioning.
Subjects rate the degree to which pain interfered with their daily activity over the past 7 days on a scale of 1 to 5 (ranging from 1, "Not at all," to 5, "Very much").
Higher scores indicate greater pain interference.
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Part 1 Week 24
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Mean change from Baseline in Patient-Reported Outcomes Measurement Information System Pain Interference score
Time Frame: Part 2 Week 72
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The Patient-Reported Outcomes Measurement Information System (PROMIS) Item Bank v1.1 Pain Interference Short Form 8a, is an 8 question instrument used to evaluate how much a subject's pain interferes with daily functioning.
Subjects rate the degree to which pain interfered with their daily activity over the past 7 days on a scale of 1 to 5 (ranging from 1, "Not at all," to 5, "Very much").
Higher scores indicate greater pain interference.
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Part 2 Week 72
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Mean change from Baseline in Patient Global Impression of Change in Physical Functioning for capacity to perform everyday tasks
Time Frame: Part 1 Week 24
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The Patient Global Impression of Change (PGIC), also known as Subject Global Impression.
For this study, subjects will rate how much their tenosynovial giant cell tumor (TGCT) has restricted their ability to perform everyday tasks, using the following scales that are based on the PGIC: PGIC Physical Functioning scale (ranging from 1 "Not at all," to 5 "Extremely" and rate their change in stiffness using the PGIC Stiffness scale (ranging from 1 "Very much improved" to 7 "Very much worse".
Higher scores indicate greater restrictions.
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Part 1 Week 24
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Mean change from Baseline in Patient Global Impression of Change in Physical Functioning for capacity to perform everyday tasks
Time Frame: Part 2 Week 72
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The Patient Global Impression of Change (PGIC), also known as Subject Global Impression.
For this study, subjects will rate how much their tenosynovial giant cell tumor (TGCT) has restricted their ability to perform everyday tasks, using the following scales that are based on the PGIC: PGIC Physical Functioning scale (ranging from 1, "Not at all," to 5, "Extremely" and rate their change in stiffness using the PGIC Stiffness scale (ranging from 1 "Very much improved" to 7 "Very much worse".
Higher scores indicate greater restrictions.
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Part 2 Week 72
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Mean change from Baseline in Patient Global Impression of Change in tenosynovial giant cell tumor-related stiffness score
Time Frame: Part 1 Week 24
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The Patient Global Impression of Change (PGIC), also known as Subject Global Impression.
For this study, subjects will rate how much their tenosynovial giant cell tumor (TGCT) has restricted their ability to perform everyday tasks, using the PGIC to rate their change in stiffness using the PGIC Stiffness scale, ranging from 1, "Very much improved" to 7, "Very much worse".
Higher scores indicate greater TGCT-related levels of stiffness.
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Part 1 Week 24
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Mean change from Baseline in Patient Global Impression of Change in tenosynovial giant cell tumor-related stiffness score
Time Frame: Part 2 Week 72
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The Patient Global Impression of Change (PGIC), also known as Subject Global Impression.
For this study, subjects will rate how much their TGCT has restricted their ability to perform everyday tasks, using the PGIC to rate their change in stiffness using the PGIC Stiffness scale, ranging from 1, "Very much improved" to 7, "Very much worse".
Higher scores indicate greater TGCT-related levels of stiffness.
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Part 2 Week 72
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Mean change from Baseline in Worst Pain Numeric Rating Scale score
Time Frame: Part 1 Week 24
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The Worst Pain Numeric Rating Scale (NRS) is an item in the Brief Pain Inventory (BPI) that assesses a subject's "worst" pain in the last 24 hours.
The 11-point NRS for this item ranges from 0 ("no pain") to 10 ("pain as bad as you can imagine").
Higher scores indicate greater levels of pain.
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Part 1 Week 24
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Mean change from Baseline in Worst Pain Numeric Rating Scale score
Time Frame: Part 2 Week 72
|
The Worst Pain Numeric Rating Scale (NRS) is an item in the Brief Pain Inventory (BPI) that assesses a subject's "worst" pain in the last 24 hours.
The 11-point NRS for this item ranges from 0 ("no pain") to 10 ("pain as bad as you can imagine").
Higher scores indicate greater levels of pain.
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Part 2 Week 72
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EuroQol 5 Dimension 5 Level Health Assessment
Time Frame: Part 1 Week 24
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EuroQol 5 Dimension 5 Level (EQ-5D-5L) is a widely used quality of life instrument that includes questions in each of 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
The choices include 5 levels of severity for each domain followed by a general health visual analogue scale (VAS).
This instrument is a self-report survey that measures quality of life across 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Each dimension is scored on a 5-level severity ranking that ranges from "no problems" through "extreme problems".
Higher scores indicate a lower quality of life.
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Part 1 Week 24
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EuroQol 5 Dimension 5 Level Health Assessment
Time Frame: Part 2 Week 72
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EuroQol 5 Dimension 5 Level (EQ-5D-5L) is a widely used quality of life instrument that includes questions in each of 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
The choices include 5 levels of severity for each domain followed by a general health visual analogue scale (VAS).
This instrument is a self-report survey that measures quality of life across 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.
Each dimension is scored on a 5-level severity ranking that ranges from "no problems" through "extreme problems".
Higher scores indicate a lower quality of life.
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Part 2 Week 72
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Dorothy Nguyen, MD, AmMax Bio
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AMB-051-07
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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