A Study of TEPEZZA Subcutaneous Administration in Healthy Adults

Amgen

Status and phase: Completed; Phase 1

Conditions: Bioequivalence; Bioavailability

Treatments: Drug: EDP; Drug: TEPEZZA

Study type: Interventional

Funder types: Industry

Identifiers

NCT06563856

HZNP-TEP-102

Details and patient eligibility

About

The primary objective of this study is to assess the pharmacokinetics (PK) parameters of a single subcutaneous (SubQ) infusion of TEPEZZA with and without ENHANZE™ Drug Product (EDP) at 2 dose levels in healthy adult participants.

Enrollment: 37 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The participant is able to provide written informed consent.
• The participant is male or female 18 to 55 years of age, inclusive.
• The participant has a body mass index (BMI) between 21 to 30 kg/m^², inclusive, and a minimum weight of 55 kg at Screening.
• 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.
• The participant has adequate venous access and can receive IV therapy.
• Female participants of childbearing potential must have a negative serum pregnancy test at Screening and Check-in and negative urine pregnancy tests at all other protocol-specified time points. Participants who are sexually active with a non-vasectomized male partner must agree to use 2 reliable forms of contraception during the study, one of which is recommended to be hormonal, such as an oral contraceptive.
• Female participants must agree not to donate an egg/oocyte from Day 1 until 180 days after receiving the study drug.

Male participants must agree not to donate sperm from Day 1 until 180 days after receiving the study drug.

-The participant is willing and able to comply with all protocol requirements and evaluations for the duration of the study.

Exclusion criteria

• The participant has a positive test result for hepatitis B surface antigen, hepatitis C virus (HCV) antibody, or human immunodeficiency virus (HIV) types 1 or 2 antibodies at Screening.
• The participant has a diagnosis of an autoimmune disease; or a history of HIV, hepatitis B virus (HBV), or HCV infection; a history of inflammatory bowel disease (IBD), or a history of or active thyroid eye disease (TED) at Screening.
• The participant has active liver disease or hepatic dysfunction at Screening or Check-in, as determined by alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels >1.5 times upper limit of normal (ULN).
• The participant has glycated hemoglobin (HbA1c) levels ≥8% and/or fasting glucose levels (after at least an 8-hour fast) >126 mg/dL (>7 mmol/L) at Screening.
• The participant has a seated resting blood pressure of <90/40 mmHg or >140/90 mmHg, or a seated pulse rate of <40 beats per minute (bpm) or >99 bpm or is considered clinically significant at Screening. One additional measurement can be taken if blood pressure and pulse rate are outside the specified limits.
• The participant has clinically significant 12-lead ECG abnormalities at Screening and Check-in or, in the opinion of the investigator, has a second- or third-degree atrioventricular (AV) block, or has any of the following:

QRS >120 msec

QT interval corrected for heart rate using Fridericia's formula (QTcF) >450 msec (males) or >470 msec (females)

PR interval >220 msec

• The participant has used any prescription (excluding hormonal birth control) or over-the-counter medications (except paracetamol [up to 2 g per day]), including herbal or nutritional supplements, within 14 days before receiving the study drug.
• The participant has a medical condition associated with an increased risk of bleeding - including a history of hematological diseases such as acquired platelet disorders; coagulation disorders - including drug-induced thrombocytopenia, idiopathic thrombocytopenia, or von Willebrand's Disease; or requires the use of antiplatelet or anticoagulant medication.
• Female participants who are lactating or planning to become pregnant from Screening through 180 days after receiving the study drug.
• Male participants who are planning to impregnate a female partner from Day 1 through 180 days after receiving the study drug.
• The participant has consumed alcohol-, caffeine-, or xanthine-containing products within 48 hours before the dose of study drug.
• The participant is a smoker or has used nicotine or nicotine-containing products (e.g., snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers) within 3 months before receiving the study drug.
• The participant has a history of alcohol abuse or drug addiction within the past 6 months prior to Day 1 dosing.
• The participant has a positive test result for drugs of abuse, alcohol, or cotinine (indicating active current smoking) at Screening or before receiving the study drug.
• The participant is involved in strenuous activity or contact sports within 24 hours before receiving the study drug and during the study.
• The participant has donated blood, 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.
• The participant has a history of relevant drug and/or food allergies (i.e., allergy or idiosyncratic reaction to components of TEPEZZA or excipients; prior hypersensitivity reactions to mAbs, EDP, or excipients; or any significant food allergy that could preclude a standard diet in the clinical unit).
• The participant participated in another investigational study within 30 days (or 5 half-lives of the study drug, whichever is longer) prior to dosing on Day 1. The 30-day window will be derived from the date of the last blood collection or dosing, whichever is later, in the previous study to the date of Day 1 of the current study.
• The participant has previously participated in a TEPEZZA investigational study or has received TEPEZZA or rHuPH20-containing products.
• The participant has received a COVID-19 vaccination within 6 weeks before receiving the study drug or during the study.
• The participant has a positive test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Note: Testing will be performed according to site procedures.
• The participant is mentally or legally incapacitated or has significant emotional problems at Screening or is expected to have them during the conduct of the study.
• The participant has a history or presence of a clinically significant medical or psychiatric condition or disease in the opinion of the investigator or designee.
• The participant had a history of any illness that, in the opinion of the investigator or designee, might confound the results of the study or pose an additional risk to the participant by participation in the study.
• In the opinion of the investigator or designee, the participant is not suitable for entry into the study.

Trial design

Primary purpose: Basic Science

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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37 participants in 4 patient groups

Cohort 1: TEPEZZA Dose A SubQ

Experimental group

Description:

Participants will receive Dose A of TEPEZZA administered SubQ.

Treatment:

Drug: TEPEZZA

Cohort 2: TEPEZZA Dose B SubQ

Experimental group

Description:

Participants will receive Dose B of TEPEZZA administered SubQ.

Treatment:

Drug: TEPEZZA

Cohort 3: TEPEZZA Dose B Intravenously (IV)

Experimental group

Description:

Participants will receive Dose B of TEPEZZA administered IV.

Treatment:

Drug: TEPEZZA

Cohort 4: TEPEZZA Dose B and EDP SubQ

Experimental group

Description:

Participants will receive coadministered doses of TEPEZZA Dose B and EDP SubQ.

Treatment:

Drug: TEPEZZA

Drug: EDP