A Study to Compare SB16 (Proposed Denosumab Biosimilar) to Prolia® in Postmenopausal Women With Osteoporosis

Sponsor
Samsung Bioepis Co., Ltd. (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT04664959
Collaborator
(none)
457
5
2
25.1
91.4
3.6

Study Details

Study Description

Brief Summary

This is a randomised, double-blind, multicentre study to evaluate the efficacy, safety, PK, PD, and immunogenicity of SB16 compared to Prolia® in postmenopausal women with osteoporosis.

Condition or Disease Intervention/Treatment Phase
  • Drug: SB16 (Proposed Denosumab Biosimilar)
  • Drug: Prolia® (Denosumab)
Phase 3

Detailed Description

Subjects will be randomised in a 1:1 ratio to receive either SB16 or Prolia®. At Month 12, subjects in Prolia® treatment group will be randomised again in a 1:1 ratio to either continue on Prolia® treatment or be transitioned to SB16 treatment. Investigational product (60 mg in 1 mL of SB16 or Prolia®) will be given subcutaneously every 6 months up to Month 12, and the last assessment will be done at Month 18.

Study Design

Study Type:
Interventional
Actual Enrollment :
457 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomised, Double-blind, Multicentre Clinical Study to Compare the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity Between SB16 (Proposed Denosumab Biosimilar) and Prolia® in Postmenopausal Women With Osteoporosis
Actual Study Start Date :
Nov 26, 2020
Anticipated Primary Completion Date :
Jun 30, 2022
Anticipated Study Completion Date :
Dec 29, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: SB16 (Proposed Denosumab Biosimilar)

Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months.

Drug: SB16 (Proposed Denosumab Biosimilar)
Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects transited from Prolia® group to SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously.

Active Comparator: Prolia® (Denosumab)

Subjects randomised into Prolia® group will receive Prolia® (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects in Prolia® treatment group will be re-randomised in a 1:1 ratio to either continue on Prolia® treatment or be transitioned to SB16 treatment. After re-randomisation, subjects transited to SB16 group will receive SB16, and subjects remaining in Prolia® group will continue to receive Prolia® at Month 12.

Drug: SB16 (Proposed Denosumab Biosimilar)
Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects transited from Prolia® group to SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously.

Drug: Prolia® (Denosumab)
Subjects randomised into Prolia® group will receive Prolia® (60 mg in 1 mL) subcutaneously every 6 months.

Outcome Measures

Primary Outcome Measures

  1. Percent change from baseline in lumbar spine BMD at Month 12 [Baseline and Month 12]

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years to 80 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Postmenopausal women who are 55 to 80 years of age at Screening

  • Ambulatory and visually unimpaired to participate in the study at Screening, in the opinion of the Investigator

  • Absolute BMD consistent with T-score at the total hip or lumbar spine of -4 and -2.5 at Screening

  • At least three evaluable vertebrae within L1 to L4, one evaluable femoral neck, and one evaluable hip joint for BMD measurement at Screening

  • Biologic naïve at Screening

  • Body weight of 50 kg and 90 kg at Screening

Exclusion Criteria:
  • One severe or more than two moderate vertebral fractures on spinal X-ray according to Genant classification at Screening

  • History of hip fracture or bilateral hip replacement at Screening

  • Uncorrected vitamin D deficiency at Screening

  • Hypercalcemia or hypocalcaemia at Screening

  • Inadequate haematological function at Screening

  • Inadequate renal or hepatic function at Screening

  • Known allergic reactions, hypersensitivity, or intolerance to denosumab or to any ingredients of the IP, including latex allergy or hereditary problems of fructose intolerance at Screening

  • May not tolerate long-term calcium or vitamin D supplementation or subject with malabsorption of calcium or vitamin D supplements, in the opinion of the Investigator, at Screening

  • Use of any of the medications that can affect BMD

  • Use of any non-biologic IP that is not indicated for osteoporosis from another study or use of an investigational device at Screening

  • Non-osteoporosis medical conditions that can affect BMD at Screening

  • Any clinically significant disease or disorder or laboratory abnormality which, in the opinion of the Investigator, would prevent the subject from completing the study or the interpretation of the study results at Screening and Randomisation

Contacts and Locations

Locations

Site City State Country Postal Code
1 SB Investigative Site Kraków Poland
2 SB Investigative Site Siedlce Poland
3 SB Investigative Site Warszawa Poland
4 SB Investigative Site Zamość Poland
5 SB Investigative Site Łódź Poland

Sponsors and Collaborators

  • Samsung Bioepis Co., Ltd.

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Samsung Bioepis Co., Ltd.
ClinicalTrials.gov Identifier:
NCT04664959
Other Study ID Numbers:
  • SB16-3001
First Posted:
Dec 11, 2020
Last Update Posted:
Oct 14, 2021
Last Verified:
Oct 1, 2021
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 14, 2021