An open-label, randomized, in parallel groups comparative study of pharmacokinetics, pharmacodynamics, immunogenicity and safety of GNR-044 (JSC "GENERIUM", Russian Federation) and Xolair® ("Novartis Pharma AG", Switzerland) after single subcutaneous administration in healthy volunteers at 150 mg
There is an increasing incidence of bronchial asthma (BA) and other allergic diseases around the world. Bronchial asthma suffers from 4 to 10% of the world population, in Russian Federation, the incidence of BA across the adult population ranges from 2.2 to 5-7%, in the child population is about 10%. Severe BA is associated not only with frequent hospitalizations and increased mortality but also with high treatment costs. As to it, there is a hot button issue of developing new drugs for treating patients not to be achieved effectively with standard therapy. Considering the leading pathogenesis role of IgE-mediated allergy, the use of drugs to block IgE makes it possible to control the disease at the earliest allergic reaction phase of the development. It was shown that the IgE elimination from the mast cells and basophils surface reduced the severity of acute allergic reactions, reduced the allergen-induced late phase of the immune response and infiltration with inflammatory cells. These anti-IgE antibodies effects have been shown in various studies. One of these drugs is оmalizumab (Xolair®). The drug has been approved in various countries across the world, including the United States and the European Union for the severe allergic BA and chronic idiopathic urticaria treatment. In the Russian Federation, omalizumab was registered in May 2007. The drug GNR-044 (JSC "GENERIUM", Russian Federation) is biosimilar to the original drug Xolair®. This study is aimed to compare the safety and pharmacokinetics of the drug GNR-044 (JSC "GENERIUM", Russian Federation) and the drug Xolair® in order to register of the drug GNR-044 (JSC "GENERIUM", Russian Federation), a lyophilizate for subcutaneous administration, in the Russian Federation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
84
150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area
150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area
State budgetary institution of health care of the city of Moscow "City outpatients clinic No. 2 of the Department of Health of the city of Moscow"
Moscow, RF, Russia
Federal State Budgetary Institution "State Scientific Center Institute of Immunology" by Federal Medical and Biological Agency of the Russian Federation
Moscow, Russia
Assessment of the pharmacokinetic parameter - Tmax
Tmax - Time to reach maximum concentration (day)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - Cmax
Cmax - Maximum concentration (μg / ml)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - AUC0-∞
AUC0-∞ - Area under the concentration-time curve (mgday / ml) in the time interval from 0 to ∞
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - AUC0-2016 h
AUC0-2016 h - Area under the concentration-time curve (mg day / ml) in the time interval from 0 to 2016 h
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - Kel
Kel - Elimination constant (day - 1)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - Vd/F
Vd/F - Apparent volume of distribution (l)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
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Assessment of the pharmacokinetic parameters - CL/F
CL/F - Apparent systemic clearance (ml / day)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacokinetic parameters - T1/2
T1/2 - Half-life (day)
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacodynamics parameters - AUEC
AUEC - (area under efficacy curve) the area under the curve "Relative difference in the free IgE concentration compared to the initial value - time"
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacodynamics parameters - Cmax
Cmax - Maximum relative difference in free IgE concentration compared to baseline
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
Assessment of the pharmacodynamics parameters - relative difference estimation in free IgE concentration at each measurement point compared to baseline
• relative difference estimation in free IgE concentration at each measurement point compared to baseline
Time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration
The frequency of antidrug antibodies formation
The frequency of antidrug antibodies formation
Time frame: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration
Antidrug antibody rate
Antidrug antibody rate
Time frame: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration
Neutralising antibodies rate
Neutralising antibodies rate
Time frame: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration
Body temperature measurement
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - body temperature measurement
Time frame: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration
Systolic blood pressure
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - systolic blood pressure
Time frame: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration
Diastolic blood pressure
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - diastolic blood pressure
Time frame: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration
Heart rate
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - heart rate
Time frame: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration
Respiratory rate
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - respiratory rate
Time frame: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration
Electrocardiogram (ECG) assessment of RR Interval
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG RR Interval
Time frame: Before drug administration, on Day 29, 85 after drug administration
Electrocardiogram (ECG) assessment of PQ Interval
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG PQ Interval
Time frame: Before drug administration, on Day 29, 85 after drug administration
Electrocardiogram (ECG) assessment of QRS Interval
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG QRS Interval
Time frame: Before drug administration, on Day 29, 85 after drug administration
Electrocardiogram (ECG) assessment of QT Interval
A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG QT Interval
Time frame: Before drug administration, on Day 29, 85 after drug administration