Study Investigating PK, PD, Efficacy, Safety, and Immunogenicity of Biosimilar Denosumab (GP2411) in Patients With Postmenopausal Osteoporosis

NCT ID: NCT03974100

Last Updated: 2023-03-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

527 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-02

Study Completion Date

2022-04-22

Brief Summary

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This study was conducted to assess if there were any clinically meaningful differences in pharmacokinetics (PK), pharmacodynamics (PD), efficacy, safety, or immunogenicity between GP2411 (proposed biosimilar denosumab) and EU-authorized Prolia® (denosumab).

Detailed Description

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This was an international, multicenter, randomized, double-blind, parallel-group study with a total duration of up to 83 weeks.

The study comprised a screening period of up to 5 weeks to assess a subject's eligibility and two treatment periods: Treatment Period 1 (TP1) from Day 1 to Week 52 and Treatment Period 2 (TP2) from Week 52 to Week 78.

Women with postmenopausal osteoporosis (PMO) were randomized on Day 1 in a 1:1 ratio to receive either two 60 mg subcutaneous (s.c.) doses at 26-week intervals of GP2411 (proposed biosimilar denosumab) or EU-Prolia (EU-authorized Prolia®) during TP1. At Week 52, participants in the EU-Prolia group were re-randomized 1:1 to either continue with a third dose of EU-Prolia or switch to GP2411 for TP2. Participants in the GP2411 group continued the treatment with a third dose of GP2411 in TP2. The End of Study was achieved at Week 78.

Conditions

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Postmenopausal Women With Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
double blind

Study Groups

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GP2411

60 mg /mL subcutaneous injection every 6 months

Group Type EXPERIMENTAL

GP2411

Intervention Type BIOLOGICAL

60 mg /mL subcutaneous injection every 6 months

EU authorized Prolia

60 mg /mL subcutaneous injection every 6 months

Group Type ACTIVE_COMPARATOR

EU-Prolia (EU-authorized Prolia®)

Intervention Type BIOLOGICAL

60 mg /mL subcutaneous injection every 6 months

Interventions

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GP2411

60 mg /mL subcutaneous injection every 6 months

Intervention Type BIOLOGICAL

EU-Prolia (EU-authorized Prolia®)

60 mg /mL subcutaneous injection every 6 months

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women, diagnosed with osteoporosis
* Aged ≥ 55 and ≤ 80 years at screening
* Body weight ≥ 50 kg and ≤ 90 kg at screening
* Absolute bone mineral density consistent with T-score ≤ -2.5 and ≥ -4.0 at the lumbar spine as measured by DXA
* At least two vertebrae in the L1-L4 region and at least one hip joint are evaluable by DXA

Exclusion Criteria

* Previous exposure to denosumab (Prolia, Xgeva, or biosimilar denosumab)
* History and/or presence of one severe or more than two moderate vertebral fractures or hip fracture
* History and/or presence of bone metastases, bone disease or metabolic disease
* Ongoing use of any osteoporosis treatment or use of prohibited treatment
* Other bone active drugs
* History and/or current hypoparathyroidism or hyperparathyroidism, hypocalcemia or hypercalcemia
Minimum Eligible Age

55 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hexal AG

INDUSTRY

Sponsor Role collaborator

Sandoz

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sandoz Investigational Site

Peoria, Arizona, United States

Site Status

Sandoz Investigational Site

Miami, Florida, United States

Site Status

Sandoz Investigational Site

Wichita, Kansas, United States

Site Status

Sandoz Investigational Site

Duncansville, Pennsylvania, United States

Site Status

Sandoz Investigational Site

Wyomissing, Pennsylvania, United States

Site Status

Sandoz Investigational Site

Carrollton, Texas, United States

Site Status

Sandoz Investigational Site

Plovdiv, , Bulgaria

Site Status

Sandoz Investigational Site

Plovdiv, , Bulgaria

Site Status

Sandoz Investigational Site

Sofia, , Bulgaria

Site Status

Sandoz Investigational Site

Sofia, , Bulgaria

Site Status

Sandoz Investigational Site

Sofia, , Bulgaria

Site Status

Sandoz Investigational Site

Sofia, , Bulgaria

Site Status

Sandoz Investigational Site

Ostrava, Czech Republic, Czechia

Site Status

Sandoz Investigational Site

Hradec Králové, CZE, Czechia

Site Status

Sandoz Investigational Site

Brno, , Czechia

Site Status

Sandoz Investigational Site

Ostrava, , Czechia

Site Status

Sandoz Investigational Site

Pardubice, , Czechia

Site Status

Sandoz Investigational Site

Pilsen, , Czechia

Site Status

Sandoz Investigational Site

Prague, , Czechia

Site Status

Sandoz Investigational Site

Prague, , Czechia

Site Status

Sandoz Investigational Site

Uherské Hradiště, , Czechia

Site Status

Sandoz Investigational Site

Fujimi, Saitama, Japan

Site Status

Sandoz Investigational Site

Chuoh-ku, Tokyo, Japan

Site Status

Sandoz Investigational Site

Hachiōji, Tokyo, Japan

Site Status

Sandoz Investigational Site

Kiyose, Tokyo, Japan

Site Status

Sandoz Investigational Site

Shinagawa, Tokyo, Japan

Site Status

Sandoz Investigational Site

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Sandoz Investigational Site

Bialystok, , Poland

Site Status

Sandoz Investigational Site

Bialystok, , Poland

Site Status

Sandoz Investigational Site

Bydgoszcz, , Poland

Site Status

Sandoz Investigational Site

Lodz, , Poland

Site Status

Sandoz Investigational Site

Nadarzyn, , Poland

Site Status

Sandoz Investigational Site

Torun, , Poland

Site Status

Sandoz Investigational Site

Warsaw, , Poland

Site Status

Sandoz Investigational Site

Warsaw, , Poland

Site Status

Sandoz Investigational Site

Warsaw, , Poland

Site Status

Sandoz Investigational Site

Santiago de Compostela, A Coruna, Spain

Site Status

Sandoz Investigational Site

Sabadell, Barcelona, Spain

Site Status

Sandoz Investigational Site

Santiago de Compostela, Galicia, Spain

Site Status

Sandoz Investigational Site

Barcelona, , Spain

Site Status

Sandoz Investigational Site

Madrid, , Spain

Site Status

Sandoz Investigational Site

Seville, , Spain

Site Status

Countries

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United States Bulgaria Czechia Japan Poland Spain

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-003523-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CGP24112301

Identifier Type: -

Identifier Source: org_study_id

NCT03991338

Identifier Type: -

Identifier Source: nct_alias

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