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Healthy VolunteersPhase 1ALVOPADNCT03579823

Comparative Safety, Tolerability, Pharmacokinetic Study of AVT02 (100MG/ML) and Humira (100MG/ML) in Healthy Volunteers

A Phase 1 study testing Adalimumab 100 MG/ML [Humira] and AVT02 100MG/ML in people with Healthy Volunteers, run by Alvotech Swiss AG at 1 site in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Adalimumab is an immunosuppressive drug that belongs to the family of anti-TNF agents. It contains a monoclonal antibody produced by biotechnology. It is designed to bind to tumor necrosis factor (TNF), a substance that is involved in several auto-immune processes. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Adalimumab 100 MG/ML [Humira] and AVT02 100MG/ML
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteAustralia
Study dates
21 May 2018to 24 Aug 2018
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Main Inclusion Criteria:

  • Male and female healthy adult subjects willing to sign an Informed Consent Form and able to undergo protocol related procedures.
  • Age: 18 to 55 years, inclusive.
  • Body Mass Index (BMI): 19.0 to 30.0 kg per m2.
  • Medical history without major pathology, at the discretion of Principal Investigator.
  • Resting supine systolic blood pressure of ≤150 mmHg and diastolic blood pressure of ≤90 mmHg. Other vital signs showing no clinically relevant deviations according to the Principal Investigator's judgment.
  • Computerised 12-lead ECG recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the Principal Investigator.
  • Subjects who do not smoke tobacco products or use nicotine replacement therapy or e-cigarettes.

Main Exclusion Criteria:

  • Evidence of clinically relevant pathology.
  • Unable to follow protocol instructions in the opinion of the Principal Investigator.
  • History of relevant drug and or food allergies.
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to agents used in study.
  • Known history of previous exposure to adalimumab or other anti-TNF-alpha molecules.
  • Any past or concurrent medical conditions potentially increasing the subject's risks, or would have interfered with the study evaluation, procedures, or study completion. Examples of these include medical history with evidence of clinically relevant pathology (e.g., malignancies, demyelinating disorders, herpes zoster, or hepatic, gallbladder or pancreatic diseases).
  • Presence of chronic obstructive pulmonary disease. Asthma in the childhood is allowed.
  • Evidence of a recent, within 6 months, infection requiring hospitalisation or intravenous antibiotic use.
  • Subject has a positive test for Tuberculosis (TB) during screening or a known history of active or latent TB, except documented and complete adequate treatment of TB.
  • Having received live vaccines during the 4 weeks before screening or have the intention to receive vaccination during the study.
  • Positive for Hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HbcAb), anti- Hepatitis C virus antibodies (HCV), or anti-human immunodeficiency virus (HIV) 1 on 2 antibodies at screening.
  • Impaired liver function
  • Any persons who are an employee of the Principal Investigator, clinical centre, clinical research organisation or Sponsor, a relative of an employee of the clinical centre, the Investigator, Clinical Research Organization (CRO) or the Sponsor.
  • Other inclusion/exclusion criteria may apply.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Nucleus Network

    Melbourne, Victoria, 3004

Other trials in Australia

About this study

Official title: Single Centre, Randomised, Single-Blind, Pilot Study to Compare the Safety, Tolerability and Pharmacokinetics of AVT02 to EU-approved Humira® as a Single Dose (40 mg) Subcutaneous Injection in Healthy Adult Subjects (ALVOPAD)

Adalimumab is an immunosuppressive drug that belongs to the family of anti-TNF agents. It contains a monoclonal antibody produced by biotechnology. It is designed to bind to tumor necrosis factor (TNF), a substance that is involved in several auto-immune processes. By binding to TNF, adalimumab blocks its activity, reducing the severity of various chronic inflammatory diseases including Rheumatoid Arthritis, Plaque Psoriasis and others.

Often, the high cost of biologic products may preclude access to the treatment to a big portion of the population worldwide. A biosimilar product that provides comparable safety and efficacy at more affordable cost would fulfill a broader medical need.

Read more

Humira has been available on the market for several years. Recently, a higher concentration (100 mg/mL) formulation has been introduced in major markets. Alvotech is developing AVT02, that is a proposed biosimilar of adalimumab containing high concentration (100 mg/mL) of active ingredient.

The objective of this clinical trial is to assess the similarity of AVT02 (100 mg/mL) with Humira (100 mg/mL), in terms of tolerability, safety (including immunogenicity) and compare the pharmacokinetics in healthy volunteers.

Being tested
Adalimumab 100 MG/ML [Humira], AVT02 100MG/ML

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Adalimumab 100 MG/ML [Humira]Drug

    prefilled syringe at a concentration of 100MG/ML and delivering 40MG of adalimumab, as a single dose on day 1 day 1

  • AVT02 100MG/MLDrug

    prefilled syringe at a concentration of 100MG/ML delivering 40MG of AVT02, as a single dose on day 1 day 1

Study groups in NCT03579823
Study groupRoleWhat they receive
AVT02 100 MG/MLExperimentalSingle subcutaneous injection of 40 mg of AVT02 (100MG/ML)
Receives: Drug: AVT02 100MG/ML
Adalimumab 100 MG/ML [HUMIRA]Active comparatorSingle subcutaneous injection of 40 mg of Adalimumab (100MG/ML) [HUMIRA]
Receives: Drug: Adalimumab 100 MG/ML [Humira]

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline blood pressure at 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

    Measurement of blood pressure (systolic and diastolic in mm Hg)

    Measured: Predose and 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

  2. Change from baseline heart rate at 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

    Measure of heart rate (beats per minute)

    Measured: Predose and 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

  3. Change from baseline body temperature at 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

    Measurement of oral temperature (Celsius degree)

    Measured: Predose and 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing

  4. Change from baseline electrocardiogram at 1, 2, 5, 9, 64 days post dosing

    Analysis of 12-lead electrocardiogram

    Measured: Predose and 1, 2, 5, 9, 64 days post dosing

  5. Change from baseline red blood cells at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure red blood cells count, (unit/mm3)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  6. Change from baseline haemoglobin at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure haemoglobin (g/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  7. Change from baseline white blood cells at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure white blood cells count, (unit/mm3)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  8. Change from baseline platelets at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure platelets count, (unit/mm3)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  9. Change from baseline blood gamma glutamyl transferase at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure gamma glutamyl transferase (UI/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  10. Change from baseline blood aspartate aminotransferase at 2, 3, 5, 9, 64 days post

    Blood collection to measure aspartate aminotransferase (UI/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  11. Change from baseline blood alanine aminotransferase at 2, 3, 5, 9, 64 days post

    Blood collection to measure alanine aminotransferase (UI/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  12. Change from baseline blood potassium at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure potassium (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  13. Change from baseline blood sodium at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure sodium (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  14. Change from baseline blood calcium at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure calcium (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  15. Change from baseline blood phosphate at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure phosphate (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  16. Change from baseline blood chloride at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure chloride (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  17. Change from baseline blood bicarbonate at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure bicarbonate (mmol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  18. Change from baseline blood creatinine at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure creatinine (micromol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  19. Change from baseline blood bilirubin at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure Bilirubin (micromol/L)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  20. Change from baseline international normalised ratio at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure international normalised ratio

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  21. Change from baseline prothrombin time at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure prothrombin time (sec)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  22. Change from baseline partial prothrombin time at 2, 3, 5, 9, 64 days post dosing

    Blood collection to measure partial prothrombin time (sec)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  23. Change from baseline activated partial thromboplastin time at 2, 3, 5, 9, 64 days post

    Blood collection to measure activated partial thromboplastin time (sec)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  24. Change from baseline thrombin time at 2, 3, 5, 9, 64 days post

    Blood collection to measure thrombin time (sec)

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  25. Change from baseline urine leucocytes at 2, 3, 5, 9, 64 days post dosing

    Urine sample collection to measure leucocytes

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  26. Change from baseline urine glucose at 2, 3, 5, 9, 64 days post dosing

    Urine sample collection to measure glucose

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

  27. Change from baseline urine protein at 2, 3, 5, 9, 64 days post dosing

    Urine sample collection to measure protein

    Measured: Predose and 2, 3, 5, 9, 64 days post dosing

Secondary outcomes (7)
  1. Area under the plasma concentration-time curve (AUC)

    Venous blood samples will be collected for measurement of Area under the plasma concentration-time curve (AUC) of AVT02 and EU Humira

    Measured: Over 64 days

  2. Maximum serum concentration

    Venous blood samples will be collected for measurement of serum concentration of AVT02 and EU Humira

    Measured: Over 64 days

  3. Time to maximum serum concentration

    Evaluation of time to maximum plasma concentration (Tmax) of AVT02 and Humira.

    Measured: Over 64 days

  4. Terminal half-life

    Evaluation of terminal elimination half-life (T1/2) of AVT02 and Humira

    Measured: Over 64 days

  5. Volume of distribution

    Evaluation of volume of distribution during the elimination phase (Vz) of AVT02 and Humira

    Measured: Over 64 days

  6. Clearance

    Evaluation of total plasma clearance (CL) of AVT02 and Humira

    Measured: Over 64 days

  7. Incidence and titer of anti-drug antibodies to adalimumab

    A blood sample will be collected to measure antibodies to AVT02 and Humira

    Measured: 15, 29 and 64 days after dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2018
  2. Study start21 May 2018
  3. Primary completion24 Aug 2018
  4. Study completion24 Aug 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Single Centre, Randomised, Single-Blind, Pilot Study
Masking
Single blind
Who is masked
Participant
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03579823
Sponsor's protocol ID
AVT02-GL-100
Acronym
ALVOPAD
Status last verified
Jan 2019
First submitted
8 Jun 2018
Last updated
18 Jan 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Adalimumab 100 MG/ML [Humira] and AVT02 100MG/ML in people with Healthy Volunteers, run by Alvotech Swiss AG at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline blood pressure at 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing (time frame: Predose and 1, 2, 3, 4, 5, 6, 7, 8, 9, 64 days post dosing). The study lists 27 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2019; AzTrials last refreshed its copy on 7 Nov 2026.

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