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NCT02675452 · OUTCOME

Number of Participants Who Experienced a Dose Limiting Toxicity (DLT)

AMG 176 First in Human Trial in Participants With Relapsed or Refractory Multiple Myeloma and Participants With Relapsed or Refractory Acute Myeloid Leukemia · Source last updated 2025-07-09

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
Days 1 to 28 of cycle 1 (4 weeks)

What was measured

A DLT was assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v 4.0, and considered by the investigators to be related to AMG 176. A DLT was defined as a grade 3 or higher non-hematological or a grade 4 hematologic adverse event (AE) that occurred during the DLT observation period. CTCAE is graded from grade 1 to 5, with higher grades indicating a worse outcome, and included; grade 1 = mild, grade 2= moderate, grade 3 = severe, grade 4 = life-threatening, and grade 5 = death.

Analysis population: DLT-evaluable analysis set included participants if they experienced a DLT during the DLT evaluation period or if they received at least 75% of the planned doses of AMG 176 (and 100% of the planned doses of azacitidine in Part 4) and completed the DLT evaluation period.

Groups in this outcome

Part 1A Cohort 1 (MM): AMG 176 Dose A BIW

Participants with MM received AMG 176 Dose A BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 2 (MM): AMG 176 Dose B BIW

Participants with MM received AMG 176 Dose B IV BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 3 (MM): AMG 176 Dose C BIW

Participants with MM received AMG 176 Dose C BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 4 (MM): AMG 176 Dose D BIW

Participants with MM received AMG 176 Dose D BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 5 (MM): AMG 176 Dose E BIW

Participants with MM received AMG 176 Dose E BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 6 (MM): AMG 176 Dose G BIW

Participants with MM received AMG 176 Dose G BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 7 (MM): AMG 176 Dose E Then Dose F BIW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose F BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 8 (MM): AMG 176 Dose E Then Dose G BIW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose G BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 9 (MM): AMG 176 Dose E Then Dose H BIW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose H BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1A Cohort 10 (MM): AMG 176 Dose E Then Dose I BIW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose I BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1B Cohort 1 (MM): AMG 176 Dose E Then Dose F QW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose F QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1B Cohort 2 (MM): AMG 176 Dose E Then Dose G QW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose G QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1B Cohort 3 (MM): AMG 176 Dose E Then Dose H QW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose H QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 1B Cohort 4 (MM): AMG 176 Dose E Then Dose I QW

Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose I QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3A Cohort 1 (AML): AMG 176 Dose D BIW

Participants with AML received AMG 176 Dose D BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3A Cohort 2 (AML): AMG 176 Dose E BIW

Participants with AML received AMG 176 Dose E BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3A Cohort 3 (AML): AMG 176 Dose E Then Dose F BIW

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose F BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3A Cohort 4 (Japanese Participants With AML): AMG 176 Dose E Then Dose F QW

Japanese participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose F QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3B Cohort 1 (AML): AMG 176 Dose E QW

Participants with AML received AMG 176 Dose E QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3B Cohort 2 (AML): AMG 176 Dose E Then Dose F QW

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose F QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3B Cohort 3 (AML): AMG 176 Dose E Then Dose G QW

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose G QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3C Cohort 1 (Japanese Participants With AML): AMG 176 Dose E QW

Japanese participants with AML received AMG 176 Dose E QW. AMG 176 was administered as an IV infusion in a 4-week cycle.

Part 3D Cohort 1 (AML): AMG 176 Dose D QW + Itraconazole

Participants with AML received AMG 176 Dose D QW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 200 mg itraconazole QD for 7 days in week 1.

Part 4 Cohort 1 (AML): AMG 176 Dose D QW + Azacitidine

Participants with AML received AMG 176 Dose D QW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for 7 days in week 1.

Part 4 Cohort 2 (AML): AMG 176 Dose E QW + Azacitidine

Participants with AML received AMG 176 Dose E QW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for 7 days in week 1.

Part 4 Cohort 3 (AML): AMG 176 Dose E Then Dose F QW + Azacitidine

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose F QW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for 7 days in week 1.

Part 4 Cohort 4 (AML): AMG 176 Dose E Then Dose G QW + Azacitidine

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose G QW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for 7 days in week 1.

Part 4 Cohort 5A (AML): AMG 176 Dose E BIW + Azacitidine

Participants with AML received AMG 176 Dose E BIW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for 7 days in week 1.

Part 4 Cohort 5B (AML): AMG 176 Dose E the Dose G BIW + Azacitidine

Participants with AML received AMG 176 Dose E in cycle 1 week 1, then received Dose G BIW. AMG 176 was administered as an IV infusion in a 4-week cycle. They also received 75 mg/m\^2 azacitidine SC or IV QD for for 7 days in week 1.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Part 1A Cohort 1 (MM): AMG 176 Dose A BIW3
Part 1A Cohort 2 (MM): AMG 176 Dose B BIW3
Part 1A Cohort 3 (MM): AMG 176 Dose C BIW4
Part 1A Cohort 4 (MM): AMG 176 Dose D BIW3
Part 1A Cohort 5 (MM): AMG 176 Dose E BIW3
Part 1A Cohort 6 (MM): AMG 176 Dose G BIW2
Part 1A Cohort 7 (MM): AMG 176 Dose E Then Dose F BIW4
Part 1A Cohort 8 (MM): AMG 176 Dose E Then Dose G BIW4
Part 1A Cohort 9 (MM): AMG 176 Dose E Then Dose H BIW5
Part 1A Cohort 10 (MM): AMG 176 Dose E Then Dose I BIW5
Part 1B Cohort 1 (MM): AMG 176 Dose E Then Dose F QW3
Part 1B Cohort 2 (MM): AMG 176 Dose E Then Dose G QW3
Part 1B Cohort 3 (MM): AMG 176 Dose E Then Dose H QW3
Part 1B Cohort 4 (MM): AMG 176 Dose E Then Dose I QW3
Part 3A Cohort 1 (AML): AMG 176 Dose D BIW5
Part 3A Cohort 2 (AML): AMG 176 Dose E BIW5
Part 3A Cohort 3 (AML): AMG 176 Dose E Then Dose F BIW5
Part 3A Cohort 4 (Japanese Participants With AML): AMG 176 Dose E Then Dose F QW2
Part 3B Cohort 1 (AML): AMG 176 Dose E QW4
Part 3B Cohort 2 (AML): AMG 176 Dose E Then Dose F QW3
Part 3B Cohort 3 (AML): AMG 176 Dose E Then Dose G QW4
Part 3C Cohort 1 (Japanese Participants With AML): AMG 176 Dose E QW4
Part 3D Cohort 1 (AML): AMG 176 Dose D QW + Itraconazole10
Part 4 Cohort 1 (AML): AMG 176 Dose D QW + Azacitidine5
Part 4 Cohort 2 (AML): AMG 176 Dose E QW + Azacitidine4
Part 4 Cohort 3 (AML): AMG 176 Dose E Then Dose F QW + Azacitidine4
Part 4 Cohort 4 (AML): AMG 176 Dose E Then Dose G QW + Azacitidine13
Part 4 Cohort 5A (AML): AMG 176 Dose E BIW + Azacitidine10
Part 4 Cohort 5B (AML): AMG 176 Dose E the Dose G BIW + Azacitidine13

Reported measurements

Source class 1
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Part 1A Cohort 1 (MM): AMG 176 Dose A BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 2 (MM): AMG 176 Dose B BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 3 (MM): AMG 176 Dose C BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 4 (MM): AMG 176 Dose D BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 5 (MM): AMG 176 Dose E BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 6 (MM): AMG 176 Dose G BIW1Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 7 (MM): AMG 176 Dose E Then Dose F BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 8 (MM): AMG 176 Dose E Then Dose G BIW0Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 9 (MM): AMG 176 Dose E Then Dose H BIW1Not reportedNot reportedNot reportedNot reported
Part 1A Cohort 10 (MM): AMG 176 Dose E Then Dose I BIW1Not reportedNot reportedNot reportedNot reported
Part 1B Cohort 1 (MM): AMG 176 Dose E Then Dose F QW0Not reportedNot reportedNot reportedNot reported
Part 1B Cohort 2 (MM): AMG 176 Dose E Then Dose G QW0Not reportedNot reportedNot reportedNot reported
Part 1B Cohort 3 (MM): AMG 176 Dose E Then Dose H QW1Not reportedNot reportedNot reportedNot reported
Part 1B Cohort 4 (MM): AMG 176 Dose E Then Dose I QW0Not reportedNot reportedNot reportedNot reported
Part 3A Cohort 1 (AML): AMG 176 Dose D BIW0Not reportedNot reportedNot reportedNot reported
Part 3A Cohort 2 (AML): AMG 176 Dose E BIW0Not reportedNot reportedNot reportedNot reported
Part 3A Cohort 3 (AML): AMG 176 Dose E Then Dose F BIW0Not reportedNot reportedNot reportedNot reported
Part 3A Cohort 4 (Japanese Participants With AML): AMG 176 Dose E Then Dose F QW0Not reportedNot reportedNot reportedNot reported
Part 3B Cohort 1 (AML): AMG 176 Dose E QW0Not reportedNot reportedNot reportedNot reported
Part 3B Cohort 2 (AML): AMG 176 Dose E Then Dose F QW0Not reportedNot reportedNot reportedNot reported
Part 3B Cohort 3 (AML): AMG 176 Dose E Then Dose G QW0Not reportedNot reportedNot reportedNot reported
Part 3C Cohort 1 (Japanese Participants With AML): AMG 176 Dose E QW0Not reportedNot reportedNot reportedNot reported
Part 3D Cohort 1 (AML): AMG 176 Dose D QW + Itraconazole0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 1 (AML): AMG 176 Dose D QW + Azacitidine0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 2 (AML): AMG 176 Dose E QW + Azacitidine0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 3 (AML): AMG 176 Dose E Then Dose F QW + Azacitidine0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 4 (AML): AMG 176 Dose E Then Dose G QW + Azacitidine0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 5A (AML): AMG 176 Dose E BIW + Azacitidine0Not reportedNot reportedNot reportedNot reported
Part 4 Cohort 5B (AML): AMG 176 Dose E the Dose G BIW + Azacitidine1Not reportedNot reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        0
      4. group Id
        OG003
        value
        0
      5. group Id
        OG004
        value
        0
      6. group Id
        OG005
        value
        1
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      9. group Id
        OG008
        value
        1
      10. group Id
        OG009
        value
        1
      11. group Id
        OG010
        value
        0
      12. group Id
        OG011
        value
        0
denoms
  1. counts
    1. group Id
      OG000
      value
      3
    2. group Id
      OG001
      value
      3
    3. group Id
      OG002
      value
      4
    4. group Id
      OG003
      value
      3
    5. group Id
      OG004
      value
      3
    6. group Id
      OG005
      value
      2
    7. group Id
      OG006
      value
      4
    8. group Id
      OG007
      value
      4
    9. group Id
      OG008
      value
      5
    10. group Id
      OG009
      value
      5
    11. group Id
      OG010
      value
      3
    12. group Id
      OG011
      value
      3
    units
    Participants
description
A DLT was assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v 4.0, and considered by the investigators to be related to AMG 176. A DLT was defined as a grade 3 or higher non-hematological or a grade 4 hematologic adverse event (AE) that occurred during the DLT observation period. CTCAE is graded from grade 1 to 5, with higher grades indicating a worse outcome, and included; grade 1 = mild, grade 2= moderate, grade 3 = severe, grade 4 = life-threatening, and grade 5 = death.
groups
  1. description
    Participants with MM received AMG 176 Dose A BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG000
    title
    Part 1A Cohort 1 (MM): AMG 176 Dose A BIW
  2. description
    Participants with MM received AMG 176 Dose B IV BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG001
    title
    Part 1A Cohort 2 (MM): AMG 176 Dose B BIW
  3. description
    Participants with MM received AMG 176 Dose C BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG002
    title
    Part 1A Cohort 3 (MM): AMG 176 Dose C BIW
  4. description
    Participants with MM received AMG 176 Dose D BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG003
    title
    Part 1A Cohort 4 (MM): AMG 176 Dose D BIW
  5. description
    Participants with MM received AMG 176 Dose E BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG004
    title
    Part 1A Cohort 5 (MM): AMG 176 Dose E BIW
  6. description
    Participants with MM received AMG 176 Dose G BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG005
    title
    Part 1A Cohort 6 (MM): AMG 176 Dose G BIW
  7. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose F BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG006
    title
    Part 1A Cohort 7 (MM): AMG 176 Dose E Then Dose F BIW
  8. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose G BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG007
    title
    Part 1A Cohort 8 (MM): AMG 176 Dose E Then Dose G BIW
  9. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose H BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG008
    title
    Part 1A Cohort 9 (MM): AMG 176 Dose E Then Dose H BIW
  10. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose I BIW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG009
    title
    Part 1A Cohort 10 (MM): AMG 176 Dose E Then Dose I BIW
  11. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose F QW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG010
    title
    Part 1B Cohort 1 (MM): AMG 176 Dose E Then Dose F QW
  12. description
    Participants with MM received AMG 176 Dose E in cycle 1 week 1, then received Dose G QW. AMG 176 was administered as an IV infusion in a 4-week cycle.
    id
    OG011
    title
    Part 1B Cohort 2 (MM): AMG 176 Dose E Then Dose G QW
param Type
COUNT_OF_PARTICIPANTS
population Description
DLT-evaluable analysis set included participants if they experienced a DLT during the DLT evaluation period or if they received at least 75% of the planned doses of AMG 176 (and 100% of the planned doses of azacitidine in Part 4) and completed the DLT evaluation period.
reporting Status
POSTED
time Frame
Days 1 to 28 of cycle 1 (4 weeks)
title
Number of Participants Who Experienced a Dose Limiting Toxicity (DLT)
type
PRIMARY
unit Of Measure
Participants

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Preserved source evidence · Not medical advice