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This study has been designed as a randomized, double-blind, single-dose, parallel-group study in healthy adult male subjects 28 years to 55 years old. The study will assess the PK, PD, safety, tolerability and immunogenicity of AVT03 compared to Prolia when administered as a single SC dose.
The study will consist of a 4 week screening period, a 252 day (36 weeks) treatment and assessment period, and an End of Study (EOS) visit on week 36 on Day 252. Subjects will undertake a screening visit between Day -28 and Day -1 to determine their eligibility for the study. On Day 1, eligible subjects will be randomized and will receive a single dose of AVT03 or Prolia as subcutaneous injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AVT03 Arm | Experimental | AVT03 (denosumab) is the proposed biosimilar for Prolia (denosumab). Subjects in this arm will receive a single 60mg dose of AVT03 (denosumab) as a subcutaneous injection. |
|
| Prolia Arm | Active Comparator | Prolia(denosumab) is the proposed comparator for AVT03 (denosumab). Subjects in this arm will receive a single 60mg dose of Prolia (denosumab) as a subcutaneous injection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AVT03 | Biological | AVT03 (biosimilar to denosumab) will be given as single subcutaneous injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area under the serum concentration-time curve (AUC0-last) from day 0 to day 252 | Venous blood samples will be collected for measurement of Area under serum concentration-time curve (AUC 0-t) AVT03 and Prolia | Day 1(week 1) to Day 252 (week 36) |
| Area under the serum concentration-time curve (AUC0-inf) from day 0 to day 252 | Venous blood samples will be collected for measurement of CTX-1 serum biomarker for AVT03 and Prolia. | Time Frame: Day 1(week 1) to Day 252 (week 36)] |
| Maximum serum concentration Cmax from day 0 to day 252 | Venous blood samples will be collected for measurement of maximum serum concentration (Cmax) of AVT03 and Prolia. | Day 1(week 1) to Day 252 (week 36) |
| Measure | Description | Time Frame |
|---|---|---|
| PD_AUCE0 for CTX-1 (% inhibition) | Venous blood samples will be collected for measurement of serum concentration of AVT03 and Prolia | Day 1(week 1) to Day 252 (week 36) |
| PK area under the concentration-time curve (AUC0-24) from Day 0 to Day 252 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Felicitas Bullo | Alvotech | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nucleus Network | Herston | Australia | ||||
| NZCR Christchurch |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40357744 | Derived | Pretorius A, Bullo F, Jaskiewicz L, Stamatakos S, Otto H, Rai M, Ruffieux R, Sattar A, Leutz S, Berti F. A randomized, double-blind, single dose, parallel group, 2-arm study assessing the pharmacokinetic similarity, pharmacodynamic, safety, tolerability, and immunogenicity profiles of biosimilar candidate AVT03 (60 mg/mL) in healthy male adults. Expert Opin Investig Drugs. 2025 Jun;34(6):527-537. doi: 10.1080/13543784.2025.2505466. Epub 2025 May 16. |
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| ID | Term |
|---|---|
| D000069448 | Denosumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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Arm 1: AVT03 Arm 2: US-Prolia
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Double Blind
| Prolia | Biological | Prolia (denosumab) will be given as single subcutaneous injection |
|
|
Venous blood samples will be collected for measurement of serum concentration of AVT03 and Prolia
| Day 1(week 1) to Day 162 (week 24)] |
| Safety incidence, nature and severity of adverse events | Screening to Day 252 (week 36) |
| Immunogenicity presence and titers of ADAs and presence of nAbs against AVT03 and Prolia | Venous blood samples will be collected for measurement of antidrug-antibodies against of AVT03 and Prolia | Time Frame: Day 1(week 1) to Day 252 (week 36) |
| Christchurch |
| Christchuch |
| New Zealand |
| NZCR Auckland | Auckland | New Zealand |
| Farmovs | Bloemfontein | South Africa |
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |