A Study to Evaluate AMG 133 in Participants With Varying Degrees of Hepatic Impairment or Normal Hepatic Function
A Phase 1, Open-label, Single-Dose Study to Evaluate the Pharmacokinetics of AMG 133 in Participants With Varying Degrees of Hepatic Impairment or Normal Hepatic Function
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33172
- Clinical Pharmacology of Miami, LLC
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Miami Lakes, Florida, United States, 33014-2811
- Panax Clinical Research
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Orlando, Florida, United States, 32809
- Orlando Clinical Research Center
-
-
Texas
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San Antonio, Texas, United States, 78215-2100
- The Texas Liver Institute, Inc.
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San Antonio, Texas, United States, 78229-4801
- Pinnacle Clinical Research San Antonio
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults 18 to 75 years of age, male or female.
- Body mass index ≥ 22 kg/m^2 at screening.
For participants with normal hepatic function:
- In good health with no clinically significant findings from medical history, physical exam, electrocardiogram (ECG), vital signs, or laboratory tests.
- Systolic blood pressure (BP) 90-150 mmHg and diastolic BP 50-100 mmHg; pulse 40-110 bpm.
- Stable body weight (< 5 kg change) and no recent dietary modifications within 3 months.
For participants with hepatic impairment:
- Documented Child-Pugh Class A (mild), B (moderate), or C (severe) hepatic impairment.
- Clinically stable chronic liver disease (e.g., cirrhosis, hepatitis B, alcoholic liver disease, or stable hepatitis C).
- Systolic BP ≤ 170 mmHg and diastolic BP ≤ 100 mmHg.
- Willing to use reliable contraception (if of childbearing potential) or practice abstinence through 16 weeks after dosing.
Exclusion Criteria:
- Any unstable medical condition (e.g., recent hospitalization or major surgery).
- History of acute or chronic pancreatitis within 1 year or lipase/amylase > 2× ULN at screening.
- Endocrine disorder that can cause obesity (e.g., Cushing's syndrome).
- Significant cardiac conditions (e.g., clinically meaningful arrhythmias, 2nd/3rd-degree AV block, QT Interval Corrected Using Fridericia's Formula (QTcF) >450 msec men / >470 msec women for normal hepatic group; > 490 msec men / > 500 msec women for hepatic impairment).
- Estimated glomerular filtration rate < 60 mL/min/1.73 m^2 (normal/mild) or < 50 mL/min/1.73 m^2 (moderate/severe impairment).
- Personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2.
- Uncontrolled thyroid disease or clinically significant gastroparesis.
- Prior bariatric surgery within 6 months.
- Poor venous access.
- Positive Human Immunodeficiency Virus (HIV) test.
- Hypersensitivity to AMG 133 or its components.
- Current use of GLP-1 or GIP receptor agents within 3 months.
- Pregnancy or lactation, or unwillingness to follow contraception requirements.
- History of substance or alcohol abuse within 1 year or current alcohol intake > 21 units/week (men) or > 14 units/week (women).
- Positive test for hepatitis B surface antigen or active hepatitis C (with unstable disease).
- Diabetes mellitus not meeting glycemic cutoffs (hemoglobin A1C ≥ 6.5 % for normal hepatic group or > 11 % for hepatic impairment group).
- Active malignancy (within 18 months for hepatic impairment group; within 5 years for normal hepatic group).
- Hepatic encephalopathy Grade ≥ 3 (uncontrolled) or severe uncontrolled ascites.
- Organ transplant recipients or those on immunosuppressants.
- Participation in another clinical trial within 30 days or 5 drug half-lives (whichever is longer).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group 1, AMG 133: Normal Hepatic Function (No Impairment)
Participants with normal hepatic function will receive a single dose of AMG 133 SC on Day 1.
|
Participants will receive AMG 133 SC.
|
|
Experimental: Group 2, AMG-133: Child-Pugh A (Mild Hepatic Impairment)
Participants with mild hepatic impairment will receive a single dose of AMG 133 SC on Day 1.
|
Participants will receive AMG 133 SC.
|
|
Experimental: Group 3, AMG-133: Child-Pugh B (Moderate Hepatic Impairment)
Participants with moderate hepatic impairment will receive a single dose of AMG 133 SC on Day 1.
|
Participants will receive AMG 133 SC.
|
|
Experimental: Group 4, AMG-133: Child-Pugh C (Severe Hepatic Impairment)
Participants with severe hepatic impairment will receive a single dose of AMG 133 SC on Day 1.
|
Participants will receive AMG 133 SC.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum Observed Plasma Concentration (Cmax) of AMG 133
Time Frame: Up to Day 120
|
Up to Day 120
|
|
Area Under the Plasma Concentration-time Curve (AUC) from Time Zero to Time of Last Quantifiable Concentration (AUClast) of AMG 133
Time Frame: Up to Day 120
|
Up to Day 120
|
|
AUC from Time Zero to Infinity (AUCinf) of AMG 133
Time Frame: Up to Day 120
|
Up to Day 120
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of Participants Who Experience Treatment-emergent Adverse Events (TEAEs)
Time Frame: Up to Day 120
|
Up to Day 120
|
|
Number of Participants Who Experience Serious Adverse Events (SAEs)
Time Frame: Up to Day 120
|
Up to Day 120
|
|
Number of Participants Who Develop Anti-AMG 133 Antibodies
Time Frame: Up to Day 120
|
Up to Day 120
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: MD, Amgen
Publications and helpful links
Helpful Links
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20240024
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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