A randomized, double-blind, single-dose, phase 1 study comparing the pharmacokinetics, pharmacodynamics, safety, and immunogenicity of denosumab biosimilar CT‑P41 and reference denosumab in healthy males.

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Expert Opinion on Biological Therapy Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI:10.1080/14712598.2024.2316846
Anhye Kim, Jang Hee Hong, Wonsuk Shin, Hyounggyoon Yoo, Jin-Gyu Jung, Jean-Yves Reginster, SungHyun Kim, YunJu Bae, JeeHye Suh, Sera Kim, EunKyung Lee, Stuart Silverman
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引用次数: 0

Abstract

Background: This study's objective was to demonstrate pharmacokinetic (PK) similarity and safety of denosumab biosimilar, CT‑P41, and United States-licensed reference denosumab (US-denosumab) in healthy male Asian adults, considering also pharmacodynamic (PD) outcomes.

Research design and methods: This double-blind, two-arm, parallel-group, Phase 1 study randomized (1:1) healthy males to a single (60-mg) subcutaneous dose of CT‑P41 or US-denosumab. Primary endpoints were area under the concentration - time curve (AUC) from time zero to infinity (AUC0-inf), AUC from time zero to the last quantifiable concentration (AUC0-last), and maximum serum concentration (Cmax). PK equivalence was determined if 90% confidence intervals (CIs) for ratios of geometric least-squares means (gLSMs) were within the predefined 80-125% equivalence margin. Secondary PK, PD, safety, and immunogenicity outcomes were also evaluated.

Results: Of 154 participants randomized (76 CT‑P41; 78 US-denosumab), 151 received study drug (74 CT‑P41; 77 US-denosumab). Primary and secondary PK results, PD results, safety, and immunogenicity were comparable between groups. Ninety percent CIs for ratios of gLSMs were within the predefined equivalence margin for AUC0-inf (100.4-114.7), AUC0-last (99.9-114.3), and Cmax (95.2-107.3).

Conclusions: Following a single dose in healthy males, CT‑P41 demonstrated PK equivalence with US-denosumab.

Trial registration: ClinicalTrials.gov: NCT06037395.

一项随机、双盲、单剂量的 1 期研究,比较了健康男性服用地诺单抗生物仿制药 CT-P41 和参考药物地诺单抗的药代动力学、药效学、安全性和免疫原性。
研究背景本研究的目的是证明地诺单抗生物类似药CT-P41和美国许可的地诺单抗参考药(US-denosumab)在亚洲健康男性成人中的药代动力学(PK)相似性和安全性,同时考虑药效学(PD)结果:这项双盲、双臂、平行分组的 1 期研究随机(1:1)让健康男性接受单次(60 毫克)皮下注射 CT-P41 或 US-denosumab。主要终点为从零时到无穷大的浓度-时间曲线下面积(AUC)(AUC0-inf)、从零时到最后可量化浓度的AUC(AUC0-last)以及最大血清浓度(Cmax)。如果几何最小二乘均值比(gLSM)的90%置信区间(CI)在预定义的80%-125%等效范围内,则可判定PK等效。此外,还对次要 PK、PD、安全性和免疫原性结果进行了评估:在 154 名随机参与者(76 名 CT-P41;78 名 US-denosumab)中,151 人接受了研究药物(74 名 CT-P41;77 名 US-denosumab)。各组的主要和次要 PK 结果、PD 结果、安全性和免疫原性相当。AUC0-inf(100.4-114.7)、AUC0-last(99.9-114.3)和Cmax(95.2-107.3)的gLSMs比率的90% CIs在预定的等效范围内:结论:对健康男性进行单剂量治疗后,CT-P41与US-denosumab的PK值相当:试验注册:ClinicalTrials.gov:试验注册:ClinicalTrials.gov:NCT06037395。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Expert Opinion on Biological Therapy
Expert Opinion on Biological Therapy 医学-生物工程与应用微生物
CiteScore
8.60
自引率
0.00%
发文量
96
审稿时长
3-8 weeks
期刊介绍: Expert Opinion on Biological Therapy (1471-2598; 1744-7682) is a MEDLINE-indexed, international journal publishing peer-reviewed research across all aspects of biological therapy. Each article is structured to incorporate the author’s own expert opinion on the impact of the topic on research and clinical practice and the scope for future development. The audience consists of scientists and managers in the healthcare and biopharmaceutical industries and others closely involved in the development and application of biological therapies for the treatment of human disease. The journal welcomes: Reviews covering therapeutic antibodies and vaccines, peptides and proteins, gene therapies and gene transfer technologies, cell-based therapies and regenerative medicine Drug evaluations reviewing the clinical data on a particular biological agent Original research papers reporting the results of clinical investigations on biological agents and biotherapeutic-based studies with a strong link to clinical practice Comprehensive coverage in each review is complemented by the unique Expert Collection format and includes the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results; Article Highlights – an executive summary of the author’s most critical points.
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