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Pharmacodynamics and Pharmacokinetics of AMG 531, a Thrombopoiesis‐Stimulating Peptibody, in Healthy Japanese Subjects: A Randomized, Placebo‐Controlled Study
Author(s) -
Kumagai Yuji,
Fujita Tomoe,
Ozaki Machiko,
Sahashi Kunihiko,
Ohkura Masayuki,
Ohtsu Tomoko,
Arai Yoshihiro,
Sonehara Yusuke,
Nichol Janet L.
Publication year - 2007
Publication title -
the journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.92
H-Index - 116
eISSN - 1552-4604
pISSN - 0091-2700
DOI - 10.1177/0091270007306563
Subject(s) - medicine , pharmacokinetics , placebo , thrombopoiesis , adverse effect , pharmacodynamics , platelet , thrombocytopenic purpura , pharmacology , gastroenterology , megakaryocyte , haematopoiesis , pathology , alternative medicine , stem cell , biology , genetics
AMG 531 is a novel thrombopoiesis‐stimulating peptibody being investigated for the treatment of chronic immune thrombocytopenic purpura. This double‐blind, phase I study evaluated the safety, pharmacodynamics, and pharmacokinetics of AMG 531 in healthy Japanese men. Thirty subjects were randomly assigned 4:1 (AMG 531/placebo) to receive 1 dose of AMG 531 (0.3, 1, or 2 μg/kg) or placebo by subcutaneous injection; subjects were evaluated for 6 weeks. AMG 531 was generally well tolerated, with adverse events similar to placebo. Treatment‐related adverse events (headache, “feeling hot,” malaise) were reported for 5 of 24 AMG 531‐treated subjects. Platelets generated after exposure to AMG 531 functioned normally. Four of 8 subjects receiving 1 μg/kg and 7 of 8 receiving 2 μ/kg had platelet count increases ≥1.5‐fold over baseline, an effect similar to that seen in non‐Japanese subjects. Serum AMG 531 concentrations were below the lower limit of quantification in all but 2 subjects receiving 2 μg/kg.

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