Table 3.
Arm | Cohort | AMG 232 dose (mg) | tmax (hr) | Cmax (ng/mL) |
AUC24hr (hr•ng/mL) |
t1/2,z (hr) |
CL/F (L/hr) |
---|---|---|---|---|---|---|---|
Cycle 1, Day 7 (AMG 232 monotherapy; prior to co-administration with T + D [Arm 1] or T alone [Arm 2) | |||||||
Arm 1: AMG 232 + T + D | 1 | 120 |
2.0 (1.0–4.0) n = 4 |
491 (59.4%) n = 4 |
5140 (59.4%) n = 4 |
7.04 (NR) n = 1 |
23.4 (53.6%) n = 4 |
2 | 180 |
2.0 (1.0–4.0) n = 6 |
847 (51.3%) n = 6 |
5890 (34.6%) n = 5 |
7.79 (0.718) n = 4 |
30.6 (37.5%) n = 5 |
|
Arm 2: AMG 232 + T | 1 | 120 |
2.0 (2.0–4.0) n = 6 |
914 (37.4%) n = 6 |
9810 (61.4%) n = 6 |
8.32 (NR) n = 2 |
12.2 (69.7%) n = 6 |
2 | 180 |
2.0 (0.0–4.0) n = 7 |
1250 (62.2%) n = 7 |
10600 (71.7%) n = 7 |
7.54 (NR) n = 2 |
16.9 (115.6%) n = 7 |
|
3 | 240 |
2.0 (2.0–2.0) n = 4 |
3300 (46.5%) n = 4 |
21100 (28.3%) n = 3 |
8.12 n = 1 |
11.4 (24.7%) n = 3 |
|
Cycle 2, Day 7 (AMG 232 with co-administration of T + D [Arm 1] or T alone [Arm 2]) | |||||||
Arm 1: AMG 232 + T + D | 1 | 120 |
2.0 (2.0–4.0) n = 4 |
392 (43.3%)a n = 4 |
3140 (31.4%)a n = 4 |
5.86 (NR) n = 2 |
38.2 (32.5%) n = 4 |
2 | 180 |
3.0 (1.0–6.0) n = 6 |
647 (44.3%)a n = 6 |
4750 (38.7%)a n = 4 |
6.93 (NR) n = 2 |
37.9 (38.2%) n = 4 |
|
Arm 2: AMG 232 + T | 1 | 120 |
3.0 (2.0–6.0) n = 4 |
630 (77.2%)a n = 4 |
6740 (62.9%)a n = 4 |
ND n = 0 |
17.8 (101.2%) n = 4 |
2 | 180 |
1.0 (1.0–6.0) n = 5 |
1010 (52.0%)a n = 5 |
9410 (107.0%)a n = 5 |
ND n = 0 |
19.1 (99.6%) n = 5 |
|
3 | 240 |
1.5 (1.0–2.0) n = 2 |
953 (NR)b n = 2 |
6280 (NR)b n = 2 |
5.30 (NR) n = 2 |
38.2 (NR) n = 2 |
Data are presented as geometric mean (CV%) except for tmax and t1/2,z, which were presented as median (minimum-maximum) and mean (SD), respectively. Number of subjects (n) are presented for each parameter
AUC24h area under the concentration-time curve from time 0 to 24 hrs post-dose, CL/F apparent drug clearance after extravascular administration, Cmax maximum observed plasma concentration, CV% percent coefficient of variation, D dabrafenib (150 mg twice daily dosing), hr hour, ND no data, NR not reported, SD standard deviation, T trametinib (2 mg once daily dosing), t1/2,z terminal half-life, tmax time to reach Cmax
a p>0.05 comparing AMG 232 Cmax and AUC24h values for subjects following cycle 1, day 7 (AMG 232 monotherapy), and cycle 2, day 7 (AMG 232 in combination with trametinib and dabrafenib or trametinib alone, Wilcoxon matched-pairs signed῏rank test)
b Wilcoxon test not performed (insufficient subjects to conduct test)