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A Study to Compare SB16 (Proposed Denosumab Biosimilar) to Prolia® in Postmenopausal Women With Osteoporosis

Primary Purpose

Postmenopausal Osteoporosis

Status
Completed
Phase
Phase 3
Locations
Poland
Study Type
Interventional
Intervention
SB16 (Proposed Denosumab Biosimilar)
Prolia® (Denosumab)
Sponsored by
Samsung Bioepis Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postmenopausal Osteoporosis

Eligibility Criteria

55 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Postmenopausal women who are 55 to 80 years of age at Screening
  • Ambulatory and visually unimpaired to participate in the study at Screening, in the opinion of the Investigator
  • Absolute BMD consistent with T-score at the total hip or lumbar spine of -4 and -2.5 at Screening
  • At least three evaluable vertebrae within L1 to L4, one evaluable femoral neck, and one evaluable hip joint for BMD measurement at Screening
  • Biologic naïve at Screening
  • Body weight of 50 kg and 90 kg at Screening

Exclusion Criteria:

  • One severe or more than two moderate vertebral fractures on spinal X-ray according to Genant classification at Screening
  • History of hip fracture or bilateral hip replacement at Screening
  • Uncorrected vitamin D deficiency at Screening
  • Hypercalcemia or hypocalcaemia at Screening
  • Inadequate haematological function at Screening
  • Inadequate renal or hepatic function at Screening
  • Known allergic reactions, hypersensitivity, or intolerance to denosumab or to any ingredients of the IP, including latex allergy or hereditary problems of fructose intolerance at Screening
  • May not tolerate long-term calcium or vitamin D supplementation or subject with malabsorption of calcium or vitamin D supplements, in the opinion of the Investigator, at Screening
  • Use of any of the medications that can affect BMD
  • Use of any non-biologic IP that is not indicated for osteoporosis from another study or use of an investigational device at Screening
  • Non-osteoporosis medical conditions that can affect BMD at Screening
  • Any clinically significant disease or disorder or laboratory abnormality which, in the opinion of the Investigator, would prevent the subject from completing the study or the interpretation of the study results at Screening and Randomisation

Sites / Locations

  • SB Investigative Site
  • SB Investigative Site
  • SB Investigative Site
  • SB Investigative Site
  • SB Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

SB16 (Proposed Denosumab Biosimilar)

Prolia® (Denosumab)

Arm Description

Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months.

Subjects randomised into Prolia® group will receive Prolia® (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects in Prolia® treatment group will be re-randomised in a 1:1 ratio to either continue on Prolia® treatment or be transitioned to SB16 treatment. After re-randomisation, subjects transited to SB16 group will receive SB16, and subjects remaining in Prolia® group will continue to receive Prolia® at Month 12.

Outcomes

Primary Outcome Measures

Percent change from baseline in lumbar spine BMD at Month 12

Secondary Outcome Measures

Full Information

First Posted
December 10, 2020
Last Updated
December 19, 2022
Sponsor
Samsung Bioepis Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04664959
Brief Title
A Study to Compare SB16 (Proposed Denosumab Biosimilar) to Prolia® in Postmenopausal Women With Osteoporosis
Official Title
A Phase III, Randomised, Double-blind, Multicentre Clinical Study to Compare the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity Between SB16 (Proposed Denosumab Biosimilar) and Prolia® in Postmenopausal Women With Osteoporosis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 26, 2020 (Actual)
Primary Completion Date
June 20, 2022 (Actual)
Study Completion Date
December 19, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Samsung Bioepis Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a randomised, double-blind, multicentre study to evaluate the efficacy, safety, PK, PD, and immunogenicity of SB16 compared to Prolia® in postmenopausal women with osteoporosis.
Detailed Description
Subjects will be randomised in a 1:1 ratio to receive either SB16 or Prolia®. At Month 12, subjects in Prolia® treatment group will be randomised again in a 1:1 ratio to either continue on Prolia® treatment or be transitioned to SB16 treatment. Investigational product (60 mg in 1 mL of SB16 or Prolia®) will be given subcutaneously every 6 months up to Month 12, and the last assessment will be done at Month 18.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postmenopausal Osteoporosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
457 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SB16 (Proposed Denosumab Biosimilar)
Arm Type
Experimental
Arm Description
Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months.
Arm Title
Prolia® (Denosumab)
Arm Type
Active Comparator
Arm Description
Subjects randomised into Prolia® group will receive Prolia® (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects in Prolia® treatment group will be re-randomised in a 1:1 ratio to either continue on Prolia® treatment or be transitioned to SB16 treatment. After re-randomisation, subjects transited to SB16 group will receive SB16, and subjects remaining in Prolia® group will continue to receive Prolia® at Month 12.
Intervention Type
Drug
Intervention Name(s)
SB16 (Proposed Denosumab Biosimilar)
Intervention Description
Subjects randomised into SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously every 6 months. At Month 12, subjects transited from Prolia® group to SB16 group will receive SB16 (60 mg in 1 mL) subcutaneously.
Intervention Type
Drug
Intervention Name(s)
Prolia® (Denosumab)
Intervention Description
Subjects randomised into Prolia® group will receive Prolia® (60 mg in 1 mL) subcutaneously every 6 months.
Primary Outcome Measure Information:
Title
Percent change from baseline in lumbar spine BMD at Month 12
Time Frame
Baseline and Month 12

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Postmenopausal women who are 55 to 80 years of age at Screening Ambulatory and visually unimpaired to participate in the study at Screening, in the opinion of the Investigator Absolute BMD consistent with T-score at the total hip or lumbar spine of -4 and -2.5 at Screening At least three evaluable vertebrae within L1 to L4, one evaluable femoral neck, and one evaluable hip joint for BMD measurement at Screening Biologic naïve at Screening Body weight of 50 kg and 90 kg at Screening Exclusion Criteria: One severe or more than two moderate vertebral fractures on spinal X-ray according to Genant classification at Screening History of hip fracture or bilateral hip replacement at Screening Uncorrected vitamin D deficiency at Screening Hypercalcemia or hypocalcaemia at Screening Inadequate haematological function at Screening Inadequate renal or hepatic function at Screening Known allergic reactions, hypersensitivity, or intolerance to denosumab or to any ingredients of the IP, including latex allergy or hereditary problems of fructose intolerance at Screening May not tolerate long-term calcium or vitamin D supplementation or subject with malabsorption of calcium or vitamin D supplements, in the opinion of the Investigator, at Screening Use of any of the medications that can affect BMD Use of any non-biologic IP that is not indicated for osteoporosis from another study or use of an investigational device at Screening Non-osteoporosis medical conditions that can affect BMD at Screening Any clinically significant disease or disorder or laboratory abnormality which, in the opinion of the Investigator, would prevent the subject from completing the study or the interpretation of the study results at Screening and Randomisation
Facility Information:
Facility Name
SB Investigative Site
City
Kraków
Country
Poland
Facility Name
SB Investigative Site
City
Siedlce
Country
Poland
Facility Name
SB Investigative Site
City
Warszawa
Country
Poland
Facility Name
SB Investigative Site
City
Zamość
Country
Poland
Facility Name
SB Investigative Site
City
Łódź
Country
Poland

12. IPD Sharing Statement

Learn more about this trial

A Study to Compare SB16 (Proposed Denosumab Biosimilar) to Prolia® in Postmenopausal Women With Osteoporosis

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