von Richter Oliver, Skerjanec Andrej, Afonso Miguel, Sanguino Heinrich Sabine, Poetzl Johann, Woehling Heike, Velinova Maria, Koch Annelize, Kollins Dmitrij, Macke Lars, Wuerth Guido
Global Clinical Development, Biopharmaceuticals, Hexal AG, Holzkirchen, Germany.
Global Clinical Development, Biopharmaceuticals, Sandoz AG, Basel, Switzerland.
Br J Clin Pharmacol. 2017 Apr;83(4):732-741. doi: 10.1111/bcp.13170. Epub 2016 Dec 16.
To assess pharmacokinetics (PK) and safety of GP2015, a proposed etanercept biosimilar, in two studies: comparison with etanercept originator (ETN, bioequivalence study) and comparison of GP2015 administered via an autoinjector (AI) or prefilled syringes (PFS, delivery study).
Both studies were randomized, two-sequence, two-period, crossover studies conducted in healthy male subjects. In the bioequivalence study, subjects were randomized to receive a single 50 mg subcutaneous (s.c.) injection of GP2015 or ETN. In the delivery study, subjects were randomized to receive a single 50 mg s.c. injection of GP2015 via AI or PFS. Following a wash-out period of 35 days, subjects in the bioequivalence study received single 50 mg s.c. injection of GP2015 or ETN, and subjects in the delivery study received single 50 mg s.c. injection of GP2015 via AI or PFS.
The geometric mean ratios (90% confidence interval) of GP2015/ETN for C (1.11 [1.05-1.17]), AUC (0.98 [0.94-1.02]) and AUC (0.96 [0.93-1.00]) were within the predefined bioequivalence range of 0.80-1.25. The geometric mean ratios (90% confidence interval) of AI/PFS for C (1.01 [0.94-1.08]), AUC (1.01 [0.95-1.07]) and AUC (1.01 [0.96-1.07]) were also within the range 0.80-1.25. No new safety issues were reported. Three subjects had low titres of non-neutralising anti-drug antibodies during a follow-up visit in the bioequivalence study.
The PK of GP2015 was similar to ETN, demonstrating bioequivalence. The safety profile of GP2015 was consistent with previous reports for ETN. The GP2015 AI provided equivalent dosing and tolerability to the GP2015 PFS.
在两项研究中评估拟议的依那西普生物类似药GP2015的药代动力学(PK)和安全性:与原研依那西普(ETN)比较(生物等效性研究)以及比较通过自动注射器(AI)或预充式注射器(PFS)给药的GP2015(给药方式研究)。
两项研究均为在健康男性受试者中进行的随机、双序列、双周期交叉研究。在生物等效性研究中,受试者被随机分配接受单次50mg皮下注射GP2015或ETN。在给药方式研究中,受试者被随机分配接受单次50mg皮下注射通过AI或PFS给药的GP2015。经过35天的洗脱期后,生物等效性研究中的受试者接受单次50mg皮下注射GP2015或ETN,给药方式研究中的受试者接受单次50mg皮下注射通过AI或PFS给药的GP2015。
GP2015/ETN的C(1.11[1.05 - 1.17])、AUC(0.98[0.94 - 1.02])和AUC(0.96[0.93 - 1.00])的几何平均比值(90%置信区间)在预先定义的0.80 - 1.25生物等效性范围内。AI/PFS的C(1.01[0.94 - 1.08])AUC(1.01[0.95 - 1.07])和AUC(1.01[0.96 - 1.07])的几何平均比值(90%置信区间)也在0.80 - 1.25范围内。未报告新的安全问题。在生物等效性研究的一次随访中,3名受试者有低滴度的非中和性抗药物抗体。
GP2015的PK与ETN相似,证明具有生物等效性。GP2015的安全性与先前关于ETN的报告一致。GP2015自动注射器与GP2015预充式注射器给药剂量相当且耐受性相同。