Randomized, double-blind, placebo-controlled, multicenter study to evaluate efficacy and safety of the denosumab biosimilar MW031 in Chinese postmenopausal women with osteoporosis.

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Expert Opinion on Biological Therapy Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI:10.1080/14712598.2024.2352587
Yan Jiang, Yanan Huo, Yufeng Li, Xijian Kong, Bingwu Wang, Feng Liu, Xin Zheng, Yukun Li, Yunfa Yang, Yongsheng Xu, Qingyun Xue, Zhitian Hu, Yanfeng Xiao, Wen Ma, Yinhan Guo, Wei Yu, Weibo Xia
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引用次数: 0

Abstract

Background: This study aimed to assess the efficacy and safety of MW031 in Chinese postmenopausal women with osteoporosis.

Patients and methods: In this randomized, double-blind, placebo-controlled, multicenter clinical trial, 448 postmenopausal women with osteoporosis were randomized 3:1 to receive MW031 and placebo for 12 months. The primary efficacy endpoint was the percentage change from baseline in BMD at lumbar spine in month 12. The safety and immunogenicity profiles were also included.

Results: Of 448 randomized patients, 421 completed the study (MW031, n = 322; placebo, n = 99).After 12 months of MW031 treatment, BMD increased by 5.80% at lumbar spine,3.65% at total hip, and 2.93% at femoral neck. The model-adjusted difference was 3.86% (P<0.0001), 2.34% (P<0.0001), and 1.05% (p = 0.08) compared with placebo group, respectively. For the bone turnover markers, serum CTX level in MW031 group decreased to the maximum difference in month 1 (-71.71%, 95% CI: -77.83%, -65.60%, P<0.0001) compared with the placebo group. The safety analysis showed no significant differences in the proportion of patients reporting any adverse events between the two groups.

Conclusion: This study demonstrated that MW031 safely and effectively increased BMD and rapidly decreased the level of bone resorption marker in Chinese postmenopausal women with osteoporosis.

Trial registration: NCT05215977 (ClinicalTrials.gov.).

一项多中心随机、双盲、安慰剂对照研究,旨在评估地诺单抗生物类似物 MW031 在中国绝经后骨质疏松症妇女中的疗效和安全性。
研究背景本研究旨在评估MW031对中国绝经后骨质疏松症妇女的疗效和安全性:在这项随机、双盲、安慰剂对照的多中心临床试验中,448名绝经后骨质疏松症妇女按3:1的比例随机接受MW031和安慰剂治疗12个月。主要疗效终点是第 12 个月时腰椎骨密度与基线相比的百分比变化。研究还包括安全性和免疫原性概况:MW031治疗12个月后,腰椎BMD增加了5.80%,全髋增加了3.65%,股骨颈增加了2.93%。与安慰剂组相比,模型调整后的差异分别为 3.86% (Pp = 0.08)。在骨转换标志物方面,MW031组的血清CTX水平在第1个月下降至最大差异(-71.71%,95% CI:-77.83%,-65.60%):该研究表明,MW031能安全有效地增加中国绝经后骨质疏松症妇女的BMD,并迅速降低骨吸收标志物的水平:试验注册:NCT05215977(ClinicalTrials.gov.)
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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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