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Study Evaluation of the Efficacy, Safety and Immunogenicity of Adalimumab in Comparison With Humira®

Primary Purpose

Plaque Psoriasis

Status
Not yet recruiting
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
Adalimumab
Humira
Sponsored by
Mabscale, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Written informed consent. Male and female patients aged 18-65 years, body weight ≥ 50 kg and ≤ 120 kg. Established clinical diagnosis plaque psoriasis, lasting at least 6 months before the screening. Plaque psoriasis of moderate or severe severity of stable course with: PASI ≥ 12 points; BSA ≥ 10 %; sPGA ≥ 3 points. Patients who have been shown to undergo systemic therapy and/or patients who have had insufficient therapeutic efficacy of at least 1 previous standard systemic therapy for psoriasis, including phototherapy, therapy with cytostatic and immunosuppressive drugs, or who have had intolerance to standard systemic therapy. Exclusion Criteria: Data on intolerance or hypersensitivity to any components of the drugs, or to any other human proteins, immunoglobulin preparations. A history of severe hypersensitivity reactions of any etiology. Other (other than plaque) forms of psoriasis. Drug-induced psoriasis. Data on the use of the Adalimumab or any preparations of monoclonal antibodies inhibiting TNF-α at any time during life. The presence of Adalimumab antibodies. Extensive surgical intervention performed less than 30 days before the screening period, or planned extensive surgical intervention during the study period. Active or latent tuberculosis Lymphoproliferative diseases, lymphoma, leukemia, myeloproliferative diseases or a history of multiple myeloma. Any other malignant neoplasms currently or in anamnesis within the last 5 years, with the exception of completely removed and/or cured. Confirmed coronavirus infection caused by COVID-19 within 8 weeks prior to the screening period. Anamnestic data on the presence of syphilis, viral hepatitis B, viral hepatitis C, HIV. Vaccination with live or attenuated vaccines within 8 weeks before the screening period. Hepatic and/or renal insufficiency. Pregnancy or lactation.

Sites / Locations

  • Regional dermatovenerologic dispensary
  • Chelyabinsk Regional Clinical Dermatovenerologic Dispensary
  • Interregional Clinical Diagnostic Center
  • City clinical hospital n.a.Botkin
  • Rheumatology research Instititue n.a.Nasonova
  • State Scientific Center of Dermatovenerology and Cosmetology
  • Reafan
  • New Clinic
  • Dermatovenerologic dispensary N10

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Adalimumab (manufactured by Mabscale, LLC)

Humira®

Arm Description

In the main period, patients will begin Visit 1 receiving Adalimumab therapy at an initial dose (80 /0, 16 ml) on Visit 1, from Visit 2 Adalimumab therapy at a maintenance dose (40 /0, 8 ml) for up to Visit 9 of therapy. Each visit is conducted every two weeks ± 2 days. In additional period (from Visit 11 until Visit 28), eligible patients will continue to receive treatment after additional randomization (Adalimumab or Humira® (40 /0, 8 ml)) every 2 weeks until the end of a trial.

In the main period, patients will begin Visit 1 receiving Humira® therapy at an initial dose (80 /0, 8 ml) on Visit 1, from Visit 2 Humira® therapy at a maintenance dose (40 /0, 4 ml) for up to Visit 9 of therapy. Each visit is conducted every two weeks ± 2 days. In additional period (from Visit 11 until Visit 28), eligible patients will continue to receive treatment after additional randomization (Adalimumab or Humira® (40 /0, 4 ml)) every 2 weeks until the end of a trial.

Outcomes

Primary Outcome Measures

The proportion of patients who achieved a response according to the PASI criterion of 75 (a decrease in the severity and prevalence of psoriasis by ≥75% from the baseline level assessed by the PASI index)
Proportion of patients with positive antibody titer to Adalimumab
Percentage of patients who have neutralizing antibodies to Adalimumab

Secondary Outcome Measures

Full Information

First Posted
July 5, 2023
Last Updated
September 19, 2023
Sponsor
Mabscale, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT06005532
Brief Title
Study Evaluation of the Efficacy, Safety and Immunogenicity of Adalimumab in Comparison With Humira®
Official Title
Randomized Double Blind Phase III Trial Comparative Clinical Safety, Efficacy and Immunogenicity of Adalimumab (Manufactured by Mabscale, LLC) to Humira®.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
October 2023 (Anticipated)
Primary Completion Date
March 2025 (Anticipated)
Study Completion Date
December 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mabscale, LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
MABPS-3/2020 is a double-blind randomized multicenter clinical trial comparing efficacy, immunogenicity and safety profiles of Adalimumab (manufactured by Mabscale, LLC) compared to Humira®. The purpose of the study is to demonstrate efficacy, immunogenicity and safety of Adalimumab (manufactured by Mabscale, LLC) to Humira ® in adult patients with chronic plaque psoriasis of moderate and severe degree.
Detailed Description
Adalimumab is a recombinant humanized monoclonal antibody currently being developed by Mabscale LLC, as a proposed biosimilar to Humira®, which is approved as treatment in patients with chronic plaque psoriasis. This randomized equivalence study is designed to meet the regulatory requirement for approval of a biosimilar product.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Plaque Psoriasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
494 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Adalimumab (manufactured by Mabscale, LLC)
Arm Type
Experimental
Arm Description
In the main period, patients will begin Visit 1 receiving Adalimumab therapy at an initial dose (80 /0, 16 ml) on Visit 1, from Visit 2 Adalimumab therapy at a maintenance dose (40 /0, 8 ml) for up to Visit 9 of therapy. Each visit is conducted every two weeks ± 2 days. In additional period (from Visit 11 until Visit 28), eligible patients will continue to receive treatment after additional randomization (Adalimumab or Humira® (40 /0, 8 ml)) every 2 weeks until the end of a trial.
Arm Title
Humira®
Arm Type
Active Comparator
Arm Description
In the main period, patients will begin Visit 1 receiving Humira® therapy at an initial dose (80 /0, 8 ml) on Visit 1, from Visit 2 Humira® therapy at a maintenance dose (40 /0, 4 ml) for up to Visit 9 of therapy. Each visit is conducted every two weeks ± 2 days. In additional period (from Visit 11 until Visit 28), eligible patients will continue to receive treatment after additional randomization (Adalimumab or Humira® (40 /0, 4 ml)) every 2 weeks until the end of a trial.
Intervention Type
Drug
Intervention Name(s)
Adalimumab
Intervention Description
Adalimumab injection 40 mg / 0.8 ml
Intervention Type
Drug
Intervention Name(s)
Humira
Intervention Description
Adalimumab injection 40 mg / 0.4 ml
Primary Outcome Measure Information:
Title
The proportion of patients who achieved a response according to the PASI criterion of 75 (a decrease in the severity and prevalence of psoriasis by ≥75% from the baseline level assessed by the PASI index)
Time Frame
after 16 weeks of therapy (assessment at Visit 10)
Title
Proportion of patients with positive antibody titer to Adalimumab
Time Frame
51 weeks of therapy
Title
Percentage of patients who have neutralizing antibodies to Adalimumab
Time Frame
51 weeks of therapy

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent. Male and female patients aged 18-65 years, body weight ≥ 50 kg and ≤ 120 kg. Established clinical diagnosis plaque psoriasis, lasting at least 6 months before the screening. Plaque psoriasis of moderate or severe severity of stable course with: PASI ≥ 12 points; BSA ≥ 10 %; sPGA ≥ 3 points. Patients who have been shown to undergo systemic therapy and/or patients who have had insufficient therapeutic efficacy of at least 1 previous standard systemic therapy for psoriasis, including phototherapy, therapy with cytostatic and immunosuppressive drugs, or who have had intolerance to standard systemic therapy. Exclusion Criteria: Data on intolerance or hypersensitivity to any components of the drugs, or to any other human proteins, immunoglobulin preparations. A history of severe hypersensitivity reactions of any etiology. Other (other than plaque) forms of psoriasis. Drug-induced psoriasis. Data on the use of the Adalimumab or any preparations of monoclonal antibodies inhibiting TNF-α at any time during life. The presence of Adalimumab antibodies. Extensive surgical intervention performed less than 30 days before the screening period, or planned extensive surgical intervention during the study period. Active or latent tuberculosis Lymphoproliferative diseases, lymphoma, leukemia, myeloproliferative diseases or a history of multiple myeloma. Any other malignant neoplasms currently or in anamnesis within the last 5 years, with the exception of completely removed and/or cured. Confirmed coronavirus infection caused by COVID-19 within 8 weeks prior to the screening period. Anamnestic data on the presence of syphilis, viral hepatitis B, viral hepatitis C, HIV. Vaccination with live or attenuated vaccines within 8 weeks before the screening period. Hepatic and/or renal insufficiency. Pregnancy or lactation.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yulia BASKAEVA
Phone
+74997149289
Email
baskaeva.y@benerix.ru
Facility Information:
Facility Name
Regional dermatovenerologic dispensary
City
Barnaul
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kovaleva
Facility Name
Chelyabinsk Regional Clinical Dermatovenerologic Dispensary
City
Chelyabinsk
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ziganshin
Facility Name
Interregional Clinical Diagnostic Center
City
Kazan'
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Isaeva
Facility Name
City clinical hospital n.a.Botkin
City
Moscow
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sotnikova
Facility Name
Rheumatology research Instititue n.a.Nasonova
City
Moscow
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Korsakova
Facility Name
State Scientific Center of Dermatovenerology and Cosmetology
City
Nizhny Novgorod
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Gorodnichev
Facility Name
Reafan
City
Novosibirsk
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Filippova
Facility Name
New Clinic
City
Pyatigorsk
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chistyakova
Facility Name
Dermatovenerologic dispensary N10
City
Saint Petersburg
Country
Russian Federation
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sukharev

12. IPD Sharing Statement

Learn more about this trial

Study Evaluation of the Efficacy, Safety and Immunogenicity of Adalimumab in Comparison With Humira®

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