Mönnig Elisabeth, Schloot Nanette, Hohberg Cloth, Wiesner Tobias, Heinemann Lutz
Medizinische Abteilung - Diabetes, Lilly Deutschland GmbH, Werner-Reimers-Str. 2-4, 61352, Bad Homburg, Deutschland.
Lilly Deutschland GmbH, Bad Homburg, Deutschland.
MMW Fortschr Med. 2016 Aug;158 Suppl 5:19-27. doi: 10.1007/s15006-016-8609-y. Epub 2016 Aug 26.
Biosimilar medicinal products have been in use in the European Union since 2006. In September 2014, insulin glargine (LY IGlar) was approved as a long-acting insulin analogue. In accordance with EMA (European Medicines Agency) and FDA (Food and Drug Administration) guidelines, analytical, preclinical and clinical studies were submitted demonstrating drug safety and biosimilarity of LY IGlar with the reference insulin glargine (IGlar).
In a review article, study data collected in the clinical development of LY IGlar are summarized.
A program of Phase 1 studies investigated whether the criteria for bioequivalence were met. Based on these standards, the pharmacokinetic and pharmacodynamic properties of the two insulins were shown to be similar. The clinical comparability of LY IGlar versus IGlar was demonstrated in two Phase 3 studies in patients with type 1 and type 2 diabetes. The tolerability profiles of LY IGlar and IGlar were similar in these studies; no significant differences were observed in the rate of adverse events, hypoglycemic events or immunogenicity.
The results of these studies show that LY IGlar represents an alternative treatment option for basal insulin therapy in patients with type 1 and type 2 diabetes because its efficacy and tolerability is similar to that of IGlar.
自2006年起,生物类似药就在欧盟投入使用。2014年9月,甘精胰岛素(LY IGlar)被批准作为一种长效胰岛素类似物。根据欧洲药品管理局(EMA)和美国食品药品监督管理局(FDA)的指导原则,提交了分析、临床前和临床研究报告,证明LY IGlar与参比甘精胰岛素(IGlar)的药物安全性和生物相似性。
在一篇综述文章中,总结了LY IGlar临床开发过程中收集的研究数据。
一项1期研究计划调查了是否满足生物等效性标准。基于这些标准,两种胰岛素的药代动力学和药效学特性显示相似。在两项针对1型和2型糖尿病患者的3期研究中,证明了LY IGlar与IGlar的临床可比性。在这些研究中,LY IGlar和IGlar的耐受性概况相似;在不良事件、低血糖事件或免疫原性发生率方面未观察到显著差异。
这些研究结果表明,LY IGlar是1型和2型糖尿病患者基础胰岛素治疗的一种替代治疗选择,因为其疗效和耐受性与IGlar相似。