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| Name | Class |
|---|---|
| FP Clinical Pharma S.R.L. | INDUSTRY |
| Syngene | INDUSTRY |
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The aim of the Clinical study is to evaluate the pharmacokinetic and safety profile of a new formulation of Bevacizumab (ZutrabĀ®, Argentinian origin) when compared to two already marketed formulations of Bevacizumab AvastinĀ® (reference product) and CizumabĀ® (Indian origin), to establish similarity.
Three-way bridge phase 1 trial. It is conducted in healthy, male adult subjects, it is single-dose, double-blind, parallel groups, randomized and balanced.
Blood samples are collected for up to 90 days, to determine serum drug concentration and anti-drug antibodies. Safety and tolerability are also assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ZutrabĀ® (Bevacizumab Richmond) | Active Comparator | a single 1 mg/kg IV dose of Bevacizumab |
|
| AvastinĀ® | Active Comparator | a single 1 mg/kg IV dose of Bevacizumab |
|
| CizumabĀ® | Active Comparator | a single 1 mg/kg IV dose of Bevacizumab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bevacizumab | Biological | Single-dose infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Peak Serum Concentration of Bevacizumab (Cmax) | Cmax will be obtained directly from the serum concentration-time curve | 0, 0.33, 0.5, 1, 1.5 hours during infusion, 0.33, 0.66, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 168, 336, 504, 672, 840, 1008, 1176, 1344, 1512 hours post-infusion |
| Area Under the Serum Concentration-time Curve of Bevacizumab (ABC0-t) | Area under the serum concentration-time curve from time zero to the last experimental point, will be calculated by the trapezoidal rule | Day 1 to Day 63 |
| Area Under the Serum Concentration- Time Curve ob Bevacizumab (ABC0-ā) | Area under the serum concentration- time curve from time zero to infinity | Day 1 to Day 63 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Reach the Peak Serum Concentration (Tmax) | Time to reach the peak serum concentration, which will be obtained directly from the serum concentration curve- time | Day 1 to Day 63 |
| Terminal Elimination Rate Constant (λz) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ethel C Feleder, MD | FP Clinical Pharma S.R.L. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FP Clinical Pharma S.R.L. | Buenos Aires | C1425BAA | Argentina |
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Of 112 enrolled participants, 90 met inclusion criteria and were randomized to treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | ZutrabĀ® (Bevacizumab Richmond) | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| FG001 | AvastinĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| FG002 | CizumabĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | ZutrabĀ® (Bevacizumab Richmond) | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| BG001 | AvastinĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Peak Serum Concentration of Bevacizumab (Cmax) | Cmax will be obtained directly from the serum concentration-time curve | Posted | Mean | Standard Deviation | ng/ml | 0, 0.33, 0.5, 1, 1.5 hours during infusion, 0.33, 0.66, 1, 2, 4, 8, 12, 24, 48, 72, 96, 120, 168, 336, 504, 672, 840, 1008, 1176, 1344, 1512 hours post-infusion |
|
Adverse events were evaluated and recorded during the 63 days of the clinical study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ZutrabĀ® (Bevacizumab Richmond) | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Regulatory Affairs Department | Laboratorios Richmond | (+54 11) 5555 - 1600 | info@richmondlab.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 8, 2019 | Aug 18, 2021 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D000068258 | Bevacizumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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Terminal elimination rate constant will be calculated by linear regression analysis of the semi-logarithmic curve
| Day 1 to Day 63 |
| Elimination Half Life (T1/2) | To assess pharmacokinetic parameters | Day 1 to Day 63 |
| Systemic Clearance (CL) | To assess pharmacokinetic parameters | Day 1 to Day 63 |
| Distribution Volume | To assess pharmacokinetic parameters | Day 1 to Day 63 |
| Number of Participants With Positive Anti-bevacizumab Serum Antibodies Detection | To assess the immunogenic potential of the products under investigation, samples were taken for the determination of anti-bevacizumab serum antibodies for each randomized volunteer subject. | Screening and end of study (Day 63) |
| BG002 | CizumabĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Body Mass Index (BMI) | Mean | Full Range | kg/m^2 |
|
| CizumabĀ® |
a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion |
|
|
|
| Primary | Area Under the Serum Concentration-time Curve of Bevacizumab (ABC0-t) | Area under the serum concentration-time curve from time zero to the last experimental point, will be calculated by the trapezoidal rule | Posted | Mean | Standard Deviation | h*ng/ml | Day 1 to Day 63 |
|
|
|
|
| Primary | Area Under the Serum Concentration- Time Curve ob Bevacizumab (ABC0-ā) | Area under the serum concentration- time curve from time zero to infinity | Posted | Mean | Standard Deviation | h.ng/ml | Day 1 to Day 63 |
|
|
|
|
| Secondary | Time to Reach the Peak Serum Concentration (Tmax) | Time to reach the peak serum concentration, which will be obtained directly from the serum concentration curve- time | Posted | Mean | Standard Deviation | h | Day 1 to Day 63 |
|
|
|
| Secondary | Terminal Elimination Rate Constant (λz) | Terminal elimination rate constant will be calculated by linear regression analysis of the semi-logarithmic curve | Posted | Mean | Standard Deviation | 1/h | Day 1 to Day 63 |
|
|
|
| Secondary | Elimination Half Life (T1/2) | To assess pharmacokinetic parameters | Posted | Mean | Standard Deviation | h | Day 1 to Day 63 |
|
|
|
| Secondary | Systemic Clearance (CL) | To assess pharmacokinetic parameters | To asses pharmacokinetic parameters | Posted | Mean | Standard Deviation | ml/h/kg | Day 1 to Day 63 |
|
|
|
| Secondary | Distribution Volume | To assess pharmacokinetic parameters | Posted | Mean | Standard Deviation | ml/kg | Day 1 to Day 63 |
|
|
|
| Secondary | Number of Participants With Positive Anti-bevacizumab Serum Antibodies Detection | To assess the immunogenic potential of the products under investigation, samples were taken for the determination of anti-bevacizumab serum antibodies for each randomized volunteer subject. | Posted | Number | participants tested positive for ADA | Screening and end of study (Day 63) |
|
|
|
| 0 |
| 29 |
| 0 |
| 29 |
| 12 |
| 29 |
| EG001 | AvastinĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion | 0 | 30 | 0 | 30 | 13 | 30 |
| EG002 | CizumabĀ® | a single 1 mg/kg IV dose of Bevacizumab Bevacizumab: Single-dose infusion | 0 | 30 | 0 | 30 | 10 | 30 |
| Blurry vision | Eye disorders | Systematic Assessment |
|
| Headache | Nervous system disorders | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
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| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| Male |
|
| The null hypothesis (H0) of ANOVA is that there is no difference among group means. The alternate hypothesis (H1) is that at least one group differs significantly from the overall mean of the dependent variable. | ANOVA | 0.3617 | Power of ANOVA: 0.95 | Hazard Ratio (HR) | 94.87 | 2-Sided | 90 | 84.91 | 105.99 | Equivalence | The comparable bioavailability was achieved if 90% confidence intervals (CIs) for the test to reference ratios of the geometric means of Cmax, Area under the serum concentration-time curve of bevacizumab (ABC0-t) fell within the 80.00-125.00% acceptance criteria. |
| The null hypothesis (H0) of ANOVA is that there is no difference among group means. The alternate hypothesis (H1) is that at least one group differs significantly from the overall mean of the dependent variable. | ANOVA | 0.3617 | Hazard Ratio (HR) | 95.73 | 2-Sided | 90 | 84.82 | 108.05 | Equivalence | As supplementary information, Test Product 1 vs. Test Product 2 shall also be compared. The comparable bioavailability was achieved if 90 % confidence intervals (CIs) for the test1-to-test2 ratios of the geometric means of Cmax, Area under the serum concentration-time curve of bevacizumab (ABC0-t) fell within the 80.00-125.00 % acceptance criteria. |
|
| ANOVA |
| 0.3529 |
Power of ANOVA: 0.94 |
| Hazard Ratio (HR) |
| 95.02 |
| 2-Sided |
| 90 |
| 84.80 |
| 106.49 |
| Equivalence |
80.00-125.00% acceptance criteria. |
| The null hypothesis (H0) of ANOVA is that there is no difference among group means. The alternate hypothesis (H1) is that at least one group differs significantly from the overall mean of the dependent variable. | ANOVA | 0.3529 | Hazard Ratio (HR) | 95.19 | 2-Sided | 90 | 84.17 | 107.67 | Equivalence | As supplementary information, Test Product 1 vs. Test Product 2 shall also be compared. The comparable bioavailability was achieved if 90 % confidence intervals (CIs) for the test1-to-test2 ratios of the geometric means of Cmax, Area under the serum concentration-time curve of bevacizumab (ABC0-t) fell within the 80.00-125.00 % acceptance criteria. |
| Title | Measurements |
|---|---|
|