通过自动注射器或预灌装注射器给药的候选托珠单抗生物仿制药 CT-P47 的药代动力学和安全性:一项随机、开放标签、单剂量 I 期研究。

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Expert Opinion on Biological Therapy Pub Date : 2024-07-01 Epub Date: 2024-06-21 DOI:10.1080/14712598.2024.2321360
Kyung-Sang Yu, Hyunwook Ryu, Dongseong Shin, MinKyu Park, JunGi Hwang, Seol Ju Moon, Min-Gul Kim, Edward Keystone, Josef S Smolen, SungHyun Kim, YunJu Bae, DaBee Jeon, JiYoung Jang, GoEun Yang, JiHun Bae, JaeYong Lee, Gerd R Burmester
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引用次数: 0

摘要

研究背景本研究比较了候选托西珠单抗生物类似物CT-P47在健康亚洲成年人中通过自动注射器(CT-P47 AI)或预注注射器(CT-P47 PFS)给药的药代动力学(PK)、免疫原性和安全性:在这项I期、多中心、开放标签研究中,参与者按1:1比例随机分配,通过AI或PFS接受单次162毫克/0.9毫升剂量的CT-P47。主要终点为从零到无穷大的浓度-时间曲线下面积(AUC0-inf)和最大血清浓度(Cmax)。如果几何最小二乘均值比(gLSMs)的90%置信区间(CIs)在预定的80%-125%等效范围内,则可判定PK等效。此外,还对次要 PK 参数、免疫原性和安全性结果进行了评估:在314名随机参与者(155 CT-P47 AI;159 CT-P47 PFS)中,310人接受了研究药物(153 CT-P47 AI;157 CT-P47 PFS)。各组的主要和次要 PK 结果、免疫原性和安全性相似。AUC0-inf(85.87-102.94)和Cmax(82.98-98.16)的gLSMs比率的90% CIs在预定的等效范围内:CT-P47 AI和CT-P47 PFS的PK等效性在健康的亚洲成年人中得到了证实,两种设备的免疫原性和安全性相当:试验注册:ClinicalTrials.gov:试验注册:ClinicalTrials.gov:NCT05617183。
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Pharmacokinetics and safety of candidate tocilizumab biosimilar CT-P47 administered by auto-injector or pre-filled syringe: a randomized, open‑label, single-dose phase I study.

Background: This study compared the pharmacokinetics (PK), immunogenicity, and safety of candidate tocilizumab biosimilar, CT-P47, administered via auto-injector (CT-P47 AI) or pre-filled syringe (CT-P47 PFS), in healthy Asian adults.

Research design and methods: In this phase I, multicenter, open-label study, participants were randomized 1:1 to receive a single 162 mg/0.9 mL dose of CT-P47 via AI or PFS. Primary endpoints were area under the concentration - time curve from time zero to infinity (AUC0-inf) and maximum serum concentration (Cmax). PK equivalence was determined if 90% confidence intervals (CIs) for the ratios of geometric least-squares means (gLSMs) were within the predefined 80-125% equivalence margin. Secondary PK parameters, immunogenicity, and safety outcomes were also assessed.

Results: Of 314 participants randomized (155 CT-P47 AI; 159 CT-P47 PFS), 310 received the study drug (153 CT-P47 AI; 157 CT-P47 PFS). Primary and secondary PK results, immunogenicity and safety were similar between groups. Ninety percent CIs for the ratio of gLSMs were within the predefined equivalence margin for AUC0-inf (85.87-102.94) and Cmax (82.98-98.16).

Conclusions: PK equivalence between CT-P47 AI and CT-P47 PFS was demonstrated in healthy Asian adults, with comparable immunogenicity and safety between the two devices.

Trial registration: ClinicalTrials.gov: NCT05617183.

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来源期刊
Expert Opinion on Biological Therapy
Expert Opinion on Biological Therapy 医学-生物工程与应用微生物
CiteScore
8.60
自引率
0.00%
发文量
96
审稿时长
3-8 weeks
期刊介绍: Expert Opinion on Biological Therapy (1471-2598; 1744-7682) is a MEDLINE-indexed, international journal publishing peer-reviewed research across all aspects of biological therapy. Each article is structured to incorporate the author’s own expert opinion on the impact of the topic on research and clinical practice and the scope for future development. The audience consists of scientists and managers in the healthcare and biopharmaceutical industries and others closely involved in the development and application of biological therapies for the treatment of human disease. The journal welcomes: Reviews covering therapeutic antibodies and vaccines, peptides and proteins, gene therapies and gene transfer technologies, cell-based therapies and regenerative medicine Drug evaluations reviewing the clinical data on a particular biological agent Original research papers reporting the results of clinical investigations on biological agents and biotherapeutic-based studies with a strong link to clinical practice Comprehensive coverage in each review is complemented by the unique Expert Collection format and includes the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results; Article Highlights – an executive summary of the author’s most critical points.
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