HealthyPhase 1NCT04621318
Pharmacokinetics, Pharmacodynamics, Safety, Tolerability, and Immunogenicity Study of SB16 in Healthy Male Subjects
A Phase 1 study testing Denosumab in people with Healthy, run by Samsung Bioepis Co., Ltd. at 2 sites in 2 countries.
Trial summary
This study is to compare PK, PD, safety, tolerability, and immunogenicity profiles of SB16, EU sourced Prolia, and US sourced Prolia in healthy male subjects. Read more about this study
- Who is it for?
- Ages 28 to 55 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Healthy
- What is being tested?
- Denosumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 168 participants
- Where
- 2 sitesin 2 countries
- Study dates
- 19 Oct 2020to 9 Nov 2022
- 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 28 to 55 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy male, aged 28-55 years (inclusive) on the day of signing the informed consent.
- Have a body weight between 60.0-90.0 kg (inclusive) and a BMI between 20.0-29.9 kg/m2 (inclusive).
- Have 12-lead ECG results without clinically significant abnormal findings confirmed by the Investigator.
- Have vital sign results without clinically significant abnormal findings confirmed by the Investigator.
- Have physical examination results without clinically significant abnormal findings confirmed by the Investigator.
- Male subjects who have not had surgical sterilisation must be willing to abstain from sexual intercourse or willing to use a condom in addition to having their female partner use another form of contraception, such as an intra-uterine device, oral contraceptive, injectable progesterone, sub-dermal implant, or tubal ligation unless their partners are infertile (confirmed with written verifications) during the treatment period.
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- Willing and able to comply with scheduled visits, treatment plan, clinical laboratory tests, and other study procedures including lifestyle considerations.
- Able to provide written informed consent, which must be obtained prior to any study related procedures being performed.
- Have competence in speaking, writing, and comprehending the local language(s) where the study is conducted.
Who cannot join
- Have a history and/or current presence of clinically significant atopic allergy, hypersensitivity, or allergic reactions (either spontaneous or following drug administration), also including known or suspected clinically relevant drug hypersensitivity to denosumab or to any of the excipients.
- Have a history of and/or current clinically significant gastrointestinal, renal, hepatic, cardiovascular, haematological, pulmonary, neurologic, metabolic, psychiatric disorder, drug or alcohol abuse, or allergic disease excluding mild asymptomatic seasonal allergies.
- Have a history of bone disease or any medical condition that can affect bone metabolism (including osteoporosis, osteogenesis imperfecta, osteomalacia, hyperparathyroidism, hyperthyroidism, hypothyroidism, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Paget's disease of the bone, and malabsorption syndrome).
- Have a history of malignancy (including lymphoma, leukaemia, and skin cancer).
- Have ONJ or risk factors for ONJ such as invasive dental procedures or active periodontal disease within 180 days prior to Randomisation.
- Have bone fractures within 180 days prior to Randomisation.
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- Have a history of serious infection (associated with hospitalisation and/or which required intravenous antibiotics) within 180 days prior to Randomisation.
- Have a clinically significant active infection (bacterial, viral, or fungal) including skin infections within 28 days prior to Randomisation.
- Have any systemic or local infection, a known risk for developing sepsis.
- Have known intolerance to calcium or vitamin D supplements.
- Have previously been exposed to denosumab (Prolia®/Xgeva®) and its biosimilar.
- Have previously been exposed to a monoclonal antibody or fusion protein within 270 days (other than denosumab) prior to Randomisation and/or there is confirmed evidence or clinical suspicion of immunogenicity from previous exposure to a monoclonal antibody or fusion protein.
- Have previously been exposed to an immunosuppressive agent or biological agent (any other than a monoclonal antibody or fusion protein) within 120 days prior to Randomisation.
- Have received live vaccines(s) within 30 days prior to Randomisation or who will require live vaccine(s) during the study period.
- Have a personal or family history of prolonged QT interval syndrome or Torsade de Pointes, or family history of sudden death.
- Have any of the following abnormal laboratory test results:
- Albumin-adjusted serum calcium levels below the LLN or above the ULN.
- Serum creatinine levels above 1.5 × ULN.
- Any other laboratory abnormalities assessed as clinically significant by the Investigator.
- Have a positive test result for HBsAg, HCV antibody, or HIV 1or 2.
- Have a history of immunodeficiency.
- Have had surgery within 90 days prior to Randomisation, and/or plan to have an operation (including invasive dental procedure) during the study period.
- Have a history and/or current presence of an illness (including, but not limited to respiratory symptoms [e.g., difficulty breathing or persistent cough] or low-grade fever) within 14 days prior to Randomisation that is classified as clinically significant by the Investigator.
- Have smoked more than 10 cigarettes, 2 cigars, or 2 pipes per day within 90 days prior to Screening.
- Have regular consumption of alcoholic beverages that exceeds 14 units per week.
- Have a positive urinary drug screening result or alcohol breath test result at Screening or Day -1.
- Have taken any prescription medicine or over-the-counter medicines (except paracetamol) that might have an effect on the objectives of the study in the opinion of the Investigator, within 30 days or 10 half-lives of the medication (whichever period is longer) prior to Randomisation. This includes medications such as, but not limited to: Bisphosphonates, parathyroid hormone, hormone replacement therapy, selective estrogen receptor modulators, calcitonin, calcitriol, glucocorticoids, fluoride, strontium, or anabolic steroids.
- Have donated > 100 mL blood or plasma within 28 days prior to Randomisation.
- Have participated in another study with an investigational drug within 60 days prior to Randomisation or are currently participating in or intending to participate in another clinical study of an investigational drug before completion of all scheduled evaluation in this clinical study.
- Subjects who, in the opinion of the Investigator, are not likely to complete the study for whatever reason.
- Subject who is the Investigator or any sub-Investigator, research assistant, pharmacist, study coordinator, other staff, or relative thereof directly involved in the conduct of the clinical study.
- Vulnerable subjects
Trial locations and contacts
2 sites in 2 countries.
2 sites in 2 countries
About this study
Official title: A Randomised, Double-blind, Three-arm, Parallel Group, Single-dose Study to Compare the Pharmacokinetics, Pharmacodynamics, Safety, Tolerability, and Immunogenicity of Denosumab (SB16, EU Sourced Prolia®, and US Sourced Prolia®) in Healthy Male Subjects
This study is to compare PK, PD, safety, tolerability, and immunogenicity profiles of SB16, EU sourced Prolia, and US sourced Prolia in healthy male subjects.
- Conditions
- Healthy
- Being tested
- Denosumab
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DenosumabDrug
60 mg, single-dose
| Study group | Role | What they receive |
|---|---|---|
| SB16 | Experimental | SB16 (proposed denosumab biosimilar) Receives: Drug: Denosumab |
| EU Prolia | Active comparator | EU sourced Prolia (denosumab) Receives: Drug: Denosumab |
| US Prolia | Active comparator | US sourced Prolia (denosumab) Receives: Drug: Denosumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
AUCinf
Area under the concentration-time curve from time zero to infinity
Measured: Day 1 to Day 197
AUClast
Area under the concentration-time curve from time zero to the last quantifiable concentration
Measured: Day 1 to Day 197
Cmax
Maximum serum concentration
Measured: Day 1 to Day 197
Secondary outcomes (11)
Tmax
Time to reach Cmax
Measured: Day 1 to Day 197
Vz/F
Apparent volume of distribution during the terminal phase
Measured: Day 1 to Day 197
λz
Terminal rate constant
Measured: Day 1 to Day 197
t1/2
Terminal half-life
Measured: Day 1 to Day 197
CL/F
Apparent clearance
Measured: Day 1 to Day 197
%AUCextrap
Percentage of AUCinf due to extrapolation from Tlast to infinity
Measured: Day 1 to Day 197
AUEC for CTX percent inhibition
Area under the effect curve from time zero to Day 197 for serum CTX percent inhibition
Measured: Day 1 to Day 197
Incidence of TEAEs
Experience at least 1 TEAE
Measured: Day 1 to Day 197
Incidence of SAEs
Experience at least 1 SAE
Measured: Day 1 to Day 197
Incidence of ADAs
Incidence of ADAs to denosumab
Measured: Day 1 to Day 197
Incidence of NAbs
Incidence of NAbs to denosumab
Measured: Day 1 to Day 197
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2020
- Study start19 Oct 2020
- Primary completion9 Nov 2022
- Study completion9 Nov 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HealthyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 168 participants (actual)
Sponsor and investigators
- Lead sponsor
- Samsung Bioepis Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Hakim Charfi, MD, Principal investigator, Biotrial Rennes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04621318
- Sponsor's protocol ID
- SB16-1001
- Status last verified
- Nov 2022
- First submitted
- 3 Nov 2020
- Last updated
- 28 Nov 2022
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Lee HA, Kim S, Seo H, Kim S. A phase I, randomized, double-blind, single-dose pharmacokinetic study to evaluate the biosimilarity of SB16 (proposed denosumab biosimilar) with reference denosumab in healthy male subjects. Expert Opin Investig Drugs. 2023 Jul-Dec;32(10):959-966. doi: 10.1080/13543784.2023.2273510. Epub 2023 Nov 6.
PubMed 37870163
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Double-blind, Three-arm, Parallel Group, Single-dose Study to Compare the Pharmacokinetics, Pharmacodynamics, Safety, Tolerability, and Immunogenicity of Denosumab (SB16, EU Sourced Prolia®, and US Sourced Prolia®) in Healthy Male Subjects
- ClinicalTrials.gov ID
- NCT04621318
- Acronym / sponsor ID
- SB16-1001
- Conditions
- Healthy
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 168 participants (actual)
- Lead sponsor
- Samsung Bioepis Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 19 Oct 2020 (actual)
- Primary completion
- 9 Nov 2022 (actual)
- Study completion
- 9 Nov 2022 (actual)
- First posted
- 9 Nov 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is to compare PK, PD, safety, tolerability, and immunogenicity profiles of SB16, EU sourced Prolia, and US sourced Prolia in healthy male subjects.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| SB16 | Experimental | Drug: DenosumabSB16 (proposed denosumab biosimilar) |
| EU Prolia | Active comparator | Drug: DenosumabEU sourced Prolia (denosumab) |
| US Prolia | Active comparator | Drug: DenosumabUS sourced Prolia (denosumab) |
Who may qualify
- Ages
- 28 to 55 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Healthy male, aged 28-55 years (inclusive) on the day of signing the informed consent.
- Have a body weight between 60.0-90.0 kg (inclusive) and a BMI between 20.0-29.9 kg/m2 (inclusive).
- Have 12-lead ECG results without clinically significant abnormal findings confirmed by the Investigator.
- Have vital sign results without clinically significant abnormal findings confirmed by the Investigator.
- Have physical examination results without clinically significant abnormal findings confirmed by the Investigator.
Key exclusion criteria (32 listed)
- Have a history and/or current presence of clinically significant atopic allergy, hypersensitivity, or allergic reactions (either spontaneous or following drug administration), also including known or suspected clinically relevant drug hypersensitivity to denosumab or to any of the excipients.
- Have a history of and/or current clinically significant gastrointestinal, renal, hepatic, cardiovascular, haematological, pulmonary, neurologic, metabolic, psychiatric disorder, drug or alcohol abuse, or allergic disease excluding mild asymptomatic seasonal allergies.
- Have a history of bone disease or any medical condition that can affect bone metabolism (including osteoporosis, osteogenesis imperfecta, osteomalacia, hyperparathyroidism, hyperthyroidism, hypothyroidism, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Paget's disease of the bone, and malabsorption syndrome).
- Have a history of malignancy (including lymphoma, leukaemia, and skin cancer).
- Have ONJ or risk factors for ONJ such as invasive dental procedures or active periodontal disease within 180 days prior to Randomisation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Denosumab60 mg, single-dose | Drug | EU Prolia, SB16, US Prolia |
Primary outcome
AUCinf
Time frame: Day 1 to Day 197
Area under the concentration-time curve from time zero to infinity
AUClast
Time frame: Day 1 to Day 197
Area under the concentration-time curve from time zero to the last quantifiable concentration
Cmax
Time frame: Day 1 to Day 197
Maximum serum concentration
11 secondary outcomes
Tmax
Time frame: Day 1 to Day 197
Vz/F
Time frame: Day 1 to Day 197
λz
Time frame: Day 1 to Day 197
t1/2
Time frame: Day 1 to Day 197
CL/F
Time frame: Day 1 to Day 197
%AUCextrap
Time frame: Day 1 to Day 197
AUEC for CTX percent inhibition
Time frame: Day 1 to Day 197
Incidence of TEAEs
Time frame: Day 1 to Day 197
Incidence of SAEs
Time frame: Day 1 to Day 197
Incidence of ADAs
Time frame: Day 1 to Day 197
Incidence of NAbs
Time frame: Day 1 to Day 197
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Nov 2022.
- Derived from this study: PubMed 37870163Lee HA, Kim S, Seo H, Kim S. A phase I, randomized, double-blind, single-dose pharmacokinetic study to evaluate the biosimilarity of SB16 (proposed denosumab biosimilar) with reference denosumab in healthy male subjects. Expert Opin Investig Drugs. 2023 Jul-Dec;32(10):959-966. doi: 10.1080/13543784.2023.2273510. Epub 2023 Nov 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hakim Charfi, MD principal investigator
Biotrial Rennes
2 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Denosumab in people with Healthy, run by Samsung Bioepis Co., Ltd. at 2 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 32 exclusion criteria. 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 28 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States, France. 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?
AUCinf (time frame: Day 1 to Day 197). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04621318, which also lists 1 linked publication.
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 28 Nov 2022.