PMID- 29018537 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240327 IS - 2053-8790 (Print) IS - 2053-8790 (Electronic) IS - 2053-8790 (Linking) VI - 4 IP - 1 DP - 2017 TI - Safety, pharmacokinetics and pharmacodynamics of AMG 811, an anti-interferon-gamma monoclonal antibody, in SLE subjects without or with lupus nephritis. PG - e000226 LID - 10.1136/lupus-2017-000226 [doi] LID - e000226 AB - OBJECTIVE: To evaluate safety, pharmacokinetics and pharmacodynamics of anti-interferon (IFN)-gamma monoclonal antibody AMG 811 in subjects with SLE without or with lupus nephritis (LN). METHODS: In this phase Ib, randomised, multiple-dose escalation study (NCT00818948), subjects without LN were randomised to subcutaneous AMG 811 (6, 20 or 60 mg) or placebo and subjects with LN were randomised to subcutaneous AMG 811 (20, 60 or 120 mg) or placebo every four weeks for three total doses. Outcomes included incidence of adverse events (AEs); pharmacokinetics; levels of serum proteins (CXCL-10, interleukin 18, monocyte chemotactic protein-1); changes in gene transcript profiles and clinical parameters (Safety of Estrogen in Lupus Erythematosus National Assessment-Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) scores, proteinuria, anti-double-stranded DNA (anti-dsDNA) antibodies, C3 complement, C4 complement). RESULTS: Fifty-six subjects enrolled (28 SLE without LN; 28 with LN). Baseline mean SELENA-SLEDAI scores were 2.2 and 12.0 for SLE subjects without and with LN, respectively. Most subjects reported an AE; no meaningful imbalances were observed between AMG 811 and placebo. Pharmacokinetic profiles were similar and mostly dose-proportional in subjects without or with LN. AMG 811 treatment reduced CXCL-10 protein levels and blood-based RNA IFN-gamma Blockade Signature compared with placebo. Reductions were less pronounced and not sustained in subjects with LN, even at the highest dose tested, compared with subjects without LN. No effect on SELENA-SLEDAI scores, proteinuria, C3 or C4 complement levels, or anti-dsDNA antibodies was observed. CONCLUSION: AMG 811 demonstrated favourable pharmacokinetics and acceptable safety profile but no evidence of clinical impact. IFN-gamma-associated biomarkers decreased with AMG 811; effects were less pronounced and not sustained in LN subjects. TRIAL REGISTRATION NUMBER: NCT00818948; results. FAU - Boedigheimer, Michael J AU - Boedigheimer MJ AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Martin, David A AU - Martin DA AD - Amgen Inc., Seattle, Washington, USA. FAU - Amoura, Zahir AU - Amoura Z AD - French National Reference Center for SLE, Hopital Pitie-Salpetriere, Paris, France. FAU - Sanchez-Guerrero, Jorge AU - Sanchez-Guerrero J AD - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Romero-Diaz, Juanita AU - Romero-Diaz J AD - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Kivitz, Alan AU - Kivitz A AD - Altoona Center for Clinical Research, Duncansville, Pennsylvania, USA. FAU - Aranow, Cynthia AU - Aranow C AD - Feinstein Institute for Medical Research, Manhasset, USA. FAU - Chan, Tak Mao AU - Chan TM AD - Queen Mary Hospital, University of Hong Kong, Hong Kong. FAU - Chong, Yip Boon AU - Chong YB AD - University Malaya Medical Centre, Kuala Lumpur, Malaysia. FAU - Chiu, Kit AU - Chiu K AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Wang, Christine AU - Wang C AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Sohn, Winnie AU - Sohn W AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Arnold, Gregory E AU - Arnold GE AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Damore, Michael A AU - Damore MA AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Welcher, Andrew A AU - Welcher AA AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Sullivan, Barbara A AU - Sullivan BA AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Kotzin, Brian L AU - Kotzin BL AD - Amgen Inc., Thousand Oaks, California, USA. FAU - Chung, James B AU - Chung JB AD - Amgen Inc., Thousand Oaks, California, USA. LA - eng SI - ClinicalTrials.gov/NCT00818948 PT - Journal Article DEP - 20170914 PL - England TA - Lupus Sci Med JT - Lupus science & medicine JID - 101633705 PMC - PMC5604705 EDAT- 2017/10/12 06:00 MHDA- 2017/10/12 06:01 PMCR- 2017/09/14 CRDT- 2017/10/12 06:00 PHST- 2017/04/20 00:00 [received] PHST- 2017/06/21 00:00 [revised] PHST- 2017/06/24 00:00 [accepted] PHST- 2017/10/12 06:00 [entrez] PHST- 2017/10/12 06:00 [pubmed] PHST- 2017/10/12 06:01 [medline] PHST- 2017/09/14 00:00 [pmc-release] AID - lupus-2017-000226 [pii] AID - 10.1136/lupus-2017-000226 [doi] PST - epublish SO - Lupus Sci Med. 2017 Sep 14;4(1):e000226. doi: 10.1136/lupus-2017-000226. eCollection 2017.