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

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Expert opinion on biological therapy - (2024) vom: 22. Feb., Seite 1-9

Sprache:

Englisch

Beteiligte Personen:

Kim, Anhye [VerfasserIn]
Hong, Jang Hee [VerfasserIn]
Shin, Wonsuk [VerfasserIn]
Yoo, Hyounggyoon [VerfasserIn]
Jung, Jin-Gyu [VerfasserIn]
Reginster, Jean-Yves [VerfasserIn]
Kim, SungHyun [VerfasserIn]
Bae, YunJu [VerfasserIn]
Suh, JeeHye [VerfasserIn]
Kim, Sera [VerfasserIn]
Lee, EunKyung [VerfasserIn]
Silverman, Stuart [VerfasserIn]

Links:

Volltext

Themen:

Biosimilar
CT‑P41
Denosumab
Immunogenicity
Journal Article
Pharmacodynamics
Pharmacokinetics

Anmerkungen:

Date Revised 27.02.2024

published: Print-Electronic

ClinicalTrials.gov: NCT06037395

Citation Status Publisher

doi:

10.1080/14712598.2024.2316846

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368397424