A pharmacokinetics (PK) bioequivalence trial of proposed trastuzumab biosimilar, Myl-1401O (A) vs EU-Herceptin (B) and US-Herceptin (C).
583Background: Myl-1401O is a proposed trastuzumab biosimilar. The biosimilarity of Myl-1401O to EU-Herceptin has been demonstrated in physicochemical analyses, nonclinical studies, and one previous PK study. Methods: This single-center, randomized, double-blind, three-arm, parallel-group, Phase I study was conducted in healthy adult male volunteers. The primary objective of this study was to establish PK similarity of A to B and C. The subjects were randomized to receive either A, B or C as 8 mg/kg over 90 minutes as an intravenous infusion. For the primary endpoint, the bioequivalence criterion was that the 90% confidence intervals (CI) of the mean ratios of AUC0-∞ , AUC0-last , and Cmax were bounded within 80.00% - 125.00% calculated using natural log-transformed data. As secondary endpoints, λz, tmax and t1/2 along with assessment of safety (including immunogenicity) was performed. Results: A total of 132 subjects (44/treatment) were enrolled and 120 [42 (A), 41(B), 37(C)] subjects were included in an...
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