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Part I of the study: This is a randomised, single-dose, subcutaneous injection, parallel study designed to compare the PK of HLX14 and EU-sourced Prolia® in healthy Chinese adult male subjects, and to assess the safety, tolerability, and immunogenicity of these 2 drugs.
Part II of the study: This is a randomised, double-blind, four-arm, single-dose, subcutaneous injection, parallel-controlled study to evaluate the PK, PD, safety, tolerability, and immunogenicity between-group following a single subcutaneous injection of HLX14 or US, EU, CN-sourced Prolia®.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part I: HLX14 group | Experimental | Part I: HLX14 are given subcutaneous injection at a single dose of 60 mg. |
|
| Part I: EU-Prolia® group | Active Comparator | Part I: EU-Prolia® are given subcutaneous injection at a single dose of 60 mg. |
|
| Part II: HLX14 group | Experimental | Part II: HLX14 are given subcutaneous injection at a single dose of 60 mg. |
|
| Part II: EU-Prolia® group | Active Comparator | Part II: EU-Prolia® are given subcutaneous injection at a single dose of 60 mg. |
|
| Part II: US-Prolia® group | Active Comparator | Part II: US-Prolia® are given subcutaneous injection at a single dose of 60 mg. |
|
| Part II: CN-Prolia® group | Active Comparator |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HLX14 | Drug | healthy volunteers receive HLX14 (60mg) once |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC(0-t) | Area under the serum concentration-time curve from time 0 to the last concentration-quantifiable time t of denosumab | from 0 to day 274 |
| Cmax | Maximum serum concentration following administration of denosumab | from 0 to day 274 |
| AUC0-inf | Area under the serum concentration-time curve from time 0 to infinity | from 0 to day 274 |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | Time to reach maximum serum concentration following administration | from 0 to day 274 |
| CL/F | Total clearance | from 0 to day 274 |
| Measure | Description | Time Frame |
|---|---|---|
| AEs and SAEs | Adverse events and serious adverse events | from 0 to day 274 |
| Physical examination | from 0 to day 274 | |
Inclusion Criteria:
Exclusion Criteria:
With a history of allergy to study drugs, calcium, and/or vitamin D, or with a history of allergy to drugs or others not suitable for participating in this study as judged by the investigators;
With the following clinically significant diseases (including but not limited to digestive system, kidney diseases, liver diseases, nervous diseases, blood system, endocrine system, tumor, respiratory system, immune diseases, mental diseases, cardiovascular and cerebrovascular diseases, or any condition that may affect bone metabolism);
With a history of upper respiratory tract infection and other acute infections within 2 weeks prior to screening;
Occurred or suffering from osteomyelitis or ONJ (Osteonecrosis of the jaw) previously.
The dental or jaw disease that is active, requiring oral surgery; or dental or oral surgery wounds have not healed; or planned for invasive dental surgery during the study.
Occurrence of fracture or bone-related surgery within 6 months prior to screening;
With rash, scar, tattoo, etc. at administration site that may affect drug absorption;
Blood donation or massive blood loss (> 450 mL) within 3 months prior to screening;
Use of any prescription drugs, over-the-counter (OTC) drugs, vitamin products, or traditional Chinese medicines within 28 days prior to screening;
Participation in any drug clinical trials and use of any investigational/comparator drugs within 3 months prior to screening;
Administration of the following drugs affecting bone metabolism:
Use of any biological products (excluding vaccine) or monoclonal antibodies within 6 months prior to screening;
Vaccination within 1 month prior to screening;
With a history of alcohol abuse (14 units of alcohol per week: 1 unit = 285 mL of beer, 25 mL of spirit, or 100 mL of wine), or positive for alcohol breath test;
With a history of substance abuse or drug abuse, or positive for drug screen;
Positive for tobacco screen;
With significant changes in physical activity within 6 months prior to screening, or not agree to abstain from strenuous physical exercise during the trial;
Positive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antibody, or treponema pallidum antibody (TPPA);
Abnormal serum calcium level (beyond the laboratory reference range) during the screening;
Ear temperature > 37.5 °C during the screening period; and/or sitting systolic blood pressure (SBP) > 140 mmHg or < 90 mmHg, and/or diastolic blood pressure (DBP) > 90 mmHg or < 50 mmHg; and/or pulse rate > 100 beats/min or < 50 beats/min during the screening.
Clinically significant abnormal ECG or QTcF > 450 ms during screening, or with a prior history of clinically significant abnormal ECG;
Unwilling to take adequate contraceptive measures during the study.
Subjects who, in the opinion of the investigators, are not eligible to participate in this study.
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| Name | Affiliation | Role |
|---|---|---|
| Jing Zhang, Doctor | Huashan Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Huashan Hospital,Fudan University | Shanghai | Shanghai Municipality | 200040 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39700054 | Result | Li N, Chu N, Zhu L, Wu X, Wei Q, Wang J, Hu X, Yu H, Wang Q, Yuan W, Huang K, Zhang J. Pharmacokinetics, pharmacodynamics, safety, and immunogenicity of HLX14 versus reference denosumab in healthy males: A randomized phase I study. Clin Transl Sci. 2024 Dec;17(12):e70089. doi: 10.1111/cts.70089. | |
| 35132630 | Result |
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Part I: open label Part II: masking
Part II: CN-Prolia® are given subcutaneous injection at a single dose of 60 mg.
|
| EU-Prolia® | Drug | healthy volunteers receive EU-Prolia® (60mg) once |
|
| US-Prolia® | Drug | healthy volunteers receive US-Prolia® (60mg) once |
|
| CN-Prolia® | Drug | healthy volunteers receive CN-Prolia® (60mg) once |
|
| λz | Apparent terminal elimination rate constant | from 0 to day 274 |
| t1/2 | Elimination half life | from 0 to day 274 |
| Vd/F | Apparent volume of distribution | from 0 to day 274 |
| %AUCex | Area extrapolated from time to infinity as a percentage of total AUC0-inf | from 0 to day 274 |
| MRT | Mean residence time | from 0 to day 274 |
| AUC0-28d and AUC0-112d | Area under the drug concentration-time curve from day 0 to day 28 (4 weeks) and from day 0 to day 112 (16 weeks) | from 0 to day 112 |
| AUEC0-t | Area under the effect-time curve from time zero to last time of quantifiable concentration of serum CTX1 | from 0 to day 274 |
| Imin | Minimum observed concentration of serum CTX1 | from 0 to day 274 |
| Imax | Maximum percent inhibition of serum CTX1 | from 0 to day 274 |
| Tmin | Time to reach Imin of serum CTX1 | from 0 to day 274 |
| Vital signs |
| from 0 to day 274 |
| Injection site reactions | from 0 to day 274 |
| Laboratory tests (haematology, serum chemistry, and urinalysis) | from 0 to day 274 |
| 12-lead ECG | from 0 to day 274 |
| ADA and NAb | Positive rate of anti-drug antibody, including neutralising antibody | from 0 to day 274 |
| American Society for Clinical Pharmacology and Therapeutics. Clin Pharmacol Ther. 2022 Mar;111 Suppl 1:S5-S80. doi: 10.1002/cpt.2521. No abstract available. |