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一项比较 SCT510 与贝伐珠单抗(阿瓦斯汀)在健康中国男性中的药代动力学、安全性和免疫原性的随机、双盲、平行对照的 I 期研究。

A Randomized, Double-Blind, Parallel-Controlled Phase I Study Comparing the Pharmacokinetics, Safety, and Immunogenicity of SCT510 to Bevacizumab (Avastin) in Healthy Chinese Males.

机构信息

Research Center of Clinical Pharmacy, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Drugs R D. 2023 Jun;23(2):175-183. doi: 10.1007/s40268-023-00424-8. Epub 2023 May 29.

Abstract

BACKGROUND

SCT510 is a recombinant humanized monoclonal antibody targeting vascular endothelial growth factor (VEGF), which is intended as a candidate biosimilar of bevacizumab that is approved for various metastatic cancers.Please confirm change in wording to match definition for VEGF belowYes.

OBJECTIVE

This study aimed to compare the pharmacokinetics profiles, safety, and immunogenicity of SCT510 to bevacizumab (Avastin) in healthy Chinese males.

METHODS

This was a single-center, double-blind, parallel-group phase I study. A total of 84 participants were randomly assigned (1:1) to receive a single 3 mg/kg infusion of either SCT510 or bevacizumab and followed up for 99 days. Primary endpoints were area under the serum concentration-time curve from time 0 extrapolated to infinity (AUC), area under the serum concentration-time curve from time 0 to last quantifiable concentration (AUC), and the maximum observed concentration (C). Secondary endpoints included safety and immunogenicity.Kindly check and confirm the edit made in the article title.Yes.

RESULTS

A total of 82 subjects completed the study. Geometric means ratios (GMR) for AUC, AUC, and C were 0.88, 0.89, and 0.97, respectively, for SCT510 versus bevacizumab (USA). The 90% confidence intervals for GMRs of AUC, AUC, and C were all within the prespecified criteria (80-125%). No adverse events (AEs) led to study termination, and no serious adverse events (SAEs) were reported. None of the anti-drug antibodies (ADAs) identified were found to be neutralizing antibodies (NAbs), and only one subject from the SCT510 group tested positive for the ADA at the day 99 visit.

CONCLUSION

This study demonstrated that the pharmacokinetics, safety, and immunogenicity of SCT510 were equivalent to bevacizumab (Avastin). As a proposed biosimilar drug to bevacizumab, SCT510 was well tolerated in healthy Chinese males.

CLINICAL TRIALS REGISTRATION

NCT05113511.

摘要

背景

SCT510 是一种针对血管内皮生长因子(VEGF)的重组人源化单克隆抗体,拟作为已获批用于多种转移性癌症的贝伐珠单抗的生物类似药。请确认对词汇的更改是否符合下文 VEGF 的定义。

目的

本研究旨在比较 SCT510 与贝伐珠单抗(阿瓦斯汀)在健康中国男性中的药代动力学特征、安全性和免疫原性。

方法

这是一项单中心、双盲、平行组的 I 期研究。共 84 名参与者按 1:1 随机分配(1:1)接受单次 3mg/kg 的 SCT510 或贝伐珠单抗输注,并随访 99 天。主要终点为从 0 时到无穷大(AUC)的血清浓度-时间曲线下面积、从 0 时到最后可量化浓度(AUC)的血清浓度-时间曲线下面积和最大观察浓度(C)。次要终点包括安全性和免疫原性。

请检查并确认对文章标题的编辑。

结果

共有 82 名受试者完成了研究。SCT510 与贝伐珠单抗(美国)的 AUC、AUC 和 C 的几何均数比值(GMR)分别为 0.88、0.89 和 0.97。GMR 的 90%置信区间均在预设标准(80-125%)内。没有因不良事件(AE)导致研究终止,也没有报告严重不良事件(SAE)。未发现任何抗药物抗体(ADA)为中和抗体(NAb),只有一名 SCT510 组的受试者在第 99 天的随访中 ADA 检测呈阳性。

结论

本研究表明 SCT510 的药代动力学、安全性和免疫原性与贝伐珠单抗(阿瓦斯汀)相当。作为贝伐珠单抗的拟生物类似药,SCT510 在健康中国男性中具有良好的耐受性。

临床试验注册

NCT05113511。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fac/10293153/9dc2577c0a5f/40268_2023_424_Fig1_HTML.jpg

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