A Phase I Clinical Trial to Evaluate the Bioequivalence of an Adalimumab Biosimilar Adalimumab-WIBP and Humira®.

IF 2.9 3区 医学 Q2 PHARMACOLOGY & PHARMACY Clinical Drug Investigation Pub Date : 2024-11-15 DOI:10.1007/s40261-024-01409-4
Shengling Hu, Yang Liu, Lu Yang, Yunkai Yang, Feiguang Long, Hongying Bao, Huijun Zhang, Xin Yue, Jiayou Zhang, Zejun Wang, Chaolin Huang, Jingli Wang, Liu Xia, Yongbing Pan, Yuntao Zhang, Fengyun Gong
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Abstract

Background and objectives: The high costs associated with biological agents often limit accessibility for many patients, whereas biosimilars allow the wider application of biological treatment. The objectives of this phase I clinical trial were to compare the pharmacokinetics, immunogenicity, and safety profiles of the biosimilar adalimumab-WIBP and the reference product Humira® and to assess the precision of the bioequivalence evaluation.

Methods: In this randomized, double-blind, parallel-group bioequivalence study, 164 healthy male Chinese participants were selected and randomly divided into two groups on a 1:1 ratio. The subjects were administered a single 40 mg subcutaneous dose of either adalimumab-WIBP or Humira®. Blood samples extracted at multiple intervals after administration were analyzed to interpret pharmacokinetic parameters, and any adverse events were documented. Alongside ensuring safety measures, the subjects were monitored for immunogenicity.

Results: The pharmacokinetic results demonstrated similar serum concentration-time curves in both groups. There were no significant differences in safety and no differences in immunogenicity profiles between the two groups. The bioequivalence was confirmed: the 90% confidence interval for the geometric mean ratio of the main pharmacokinetic parameters was within the range of 80-125%.

Conclusion: The trial indicated the bioequivalence between adalimumab-WIBP and the reference product Humira® based on pharmacokinetics, immunogenicity, and safety profile. These findings reinforce the use of the adalimumab-WIBP biosimilar as a possible therapeutic alternative to Humira®.

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评估阿达木单抗生物仿制药 Adalimumab-WIBP 和 Humira® 生物等效性的 I 期临床试验。
背景和目的:与生物制剂相关的高昂费用往往限制了许多患者对生物制剂的使用,而生物仿制药则可以使生物治疗得到更广泛的应用。这项 I 期临床试验的目的是比较阿达木单抗生物仿制药 WIBP 和参比产品 Humira® 的药代动力学、免疫原性和安全性,并评估生物等效性评价的精确性:在这项随机、双盲、平行组生物等效性研究中,我们选取了164名健康的中国男性受试者,按1:1的比例随机分为两组。受试者单次皮下注射40毫克阿达木单抗-WIBP或Humira®。在给药后多次抽取血液样本进行分析,以解读药代动力学参数,并记录任何不良事件。在确保安全的同时,还对受试者进行了免疫原性监测:药代动力学结果显示,两组受试者的血清浓度-时间曲线相似。结果:药代动力学结果表明,两组受试者的血清浓度-时间曲线相似,安全性无明显差异,免疫原性也无差异。生物等效性得到证实:主要药代动力学参数几何平均比的 90% 置信区间在 80-125% 之间:试验表明,根据药代动力学、免疫原性和安全性分析,阿达木单抗-WIBP与参比产品Humira®具有生物等效性。这些发现加强了阿达木单抗-WIBP生物类似药作为Humira®治疗替代品的可能性。
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来源期刊
CiteScore
5.90
自引率
3.10%
发文量
108
审稿时长
6-12 weeks
期刊介绍: Clinical Drug Investigation provides rapid publication of original research covering all phases of clinical drug development and therapeutic use of drugs. The Journal includes: -Clinical trials, outcomes research, clinical pharmacoeconomic studies and pharmacoepidemiology studies with a strong link to optimum prescribing practice for a drug or group of drugs. -Clinical pharmacodynamic and clinical pharmacokinetic studies with a strong link to clinical practice. -Pharmacodynamic and pharmacokinetic studies in healthy volunteers in which significant implications for clinical prescribing are discussed. -Studies focusing on the application of drug delivery technology in healthcare. -Short communications and case study reports that meet the above criteria will also be considered. Additional digital features (including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations) can be published with articles; these are designed to increase the visibility, readership and educational value of the journal’s content. In addition, articles published in Clinical Drug Investigation may be accompanied by plain language summaries to assist readers who have some knowledge, but non in-depth expertise in, the area to understand important medical advances.
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