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GP2017,一种阿达木单抗生物类似药:与参比药物的药代动力学相似性以及不同给药方式的药代动力学比较。

GP2017, an adalimumab biosimilar: pharmacokinetic similarity to its reference medicine and pharmacokinetics comparison of different administration methods.

机构信息

Global Clinical Development, Biopharmaceuticals, Hexal AG (A Sandoz company) , Holzkirchen , Germany.

PAREXEL International GmbH , Berlin , Germany.

出版信息

Expert Opin Biol Ther. 2019 Oct;19(10):1075-1083. doi: 10.1080/14712598.2019.1571580. Epub 2019 Jan 30.

DOI:10.1080/14712598.2019.1571580
PMID:30698045
Abstract

: To compare the pharmacokinetics of Sandoz biosimilar adalimumab (GP2017) with reference adalimumab (Humira) in healthy volunteers (PK similarity study) and to compare the pharmacokinetics of GP2017 administered by autoinjector (AI) or prefilled syringe (PFS; delivery study). : Healthy male subjects were randomized to receive a single 40 mg subcutaneous injection of GP2017, US-licensed or EU-authorized reference adalimumab (US/EU-Humira; PK similarity study) or a single 40 mg subcutaneous injection of GP2017 via AI or PFS (delivery study). Pharmacokinetics, safety, and immunogenicity were assessed over 72 days post-injection. : The geometric mean ratios (90% confidence intervals) for C and AUC were 1.05 (0.99-1.11) and 1.04 (0.96-1.13) for GP2017/EU-Humira and 1.00 (0.94-1.06) and 1.08 (1.00-1.18) for GP2017/US-Humira, all within the prespecified margin of 0.80-1.25 (PK similarity study). Pharmacokinetic parameters of GP2017 matched between AI and PFS (delivery study). Safety and immunogenicity were similar across groups in both studies. : PK similarity between GP2017, EU- and US-Humira was demonstrated. The safety profile of GP2017 was consistent with previous reports for Humira. These results contribute to the 'totality-of-the-evidence' supporting biosimilarity of GP2017 to Humira. PK and tolerability were equivalent for GP2017 dosed by AI or PFS. : PK similarity study EudraCT no. 2015-000579-28; Delivery study: EudraCT no. 2014-002879-29.

摘要

比较 Sandoz 生物类似药阿达木单抗(GP2017)与参照阿达木单抗(Humira)在健康志愿者中的药代动力学(PK 相似性研究),以及比较 GP2017 通过自动注射器(AI)或预填充注射器(PFS)给药的药代动力学(给药研究)。

健康男性受试者被随机分配接受单次皮下注射 40mg 的 GP2017、美国许可或欧盟授权的参照阿达木单抗(美国/欧盟-Humira;PK 相似性研究)或单次皮下注射 40mg 的 GP2017 通过 AI 或 PFS(给药研究)。在注射后 72 天内评估药代动力学、安全性和免疫原性。

GP2017/EU-Humira 和 GP2017/US-Humira 的 C 和 AUC 的几何均数比值(90%置信区间)分别为 1.05(0.99-1.11)和 1.04(0.96-1.13),均在 0.80-1.25(PK 相似性研究)的预设范围内。AI 和 PFS 之间 GP2017 的药代动力学参数匹配(给药研究)。在这两项研究中,各组的安全性和免疫原性相似。

证明了 GP2017 与 EU- 和 US-Humira 之间的 PK 相似性。GP2017 的安全性特征与之前 Humira 的报告一致。这些结果为 GP2017 与 Humira 的生物相似性提供了“整体证据”支持。通过 AI 或 PFS 给药,GP2017 的 PK 和耐受性相当。

PK 相似性研究 EudraCT 编号 2015-000579-28;给药研究:EudraCT 编号 2014-002879-29。

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