This is a randomized, double-blind, parallel design, repeat dose, 2 arm, multicenter study comparing the efficacy, safety, immunogenicity, pharmacodynamic (PD) and pharmacokinetic (PK) profiles of AVT03 and US-Prolia in postmenopausal women with osteoporosis.
After the screening activities, eligible subjects were randomized to receive either AVT03 60 mg or Prolia® 60 mg, administered as a subcutaneous (s.c.) injection on Day 1 and at Month 6. At Month 12, subjects in AVT03 treatment group will received a third dose of AVT03 60 mg administered s.c. while subjects in Prolia® treatment group will were be re-randomized 1:1 to receive either Prolia 60 mg or AVT03 60 mg administered as a subcutaneous injection. Afterwards, the subjects will be followed until the End of Study (EoS) Visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
532
AVT03 (denosumab) is a recombinant fully human IgG2 monoclonal antibody to RANKL to be administered as a subcutaneous injection. Subjects in this arm received AVT03 60mg administered s.c. on Day 1 and at Month 6. At Month 12, subjects in the AVT03 arm received a third dose of AVT03 60 mg.
Prolia (denosumab) is a recombinant fully human IgG2 monoclonal antibody to RANKL developed to be administered as a subcutaneous injection. Subjects in this arm received 60mg of commercially available US-Prolia, administered s.c on Day 1 and at Month 6. At Month 12, subjects in the Prolia treatment group were re-randomized in a 1:1 ratio to receive either: * AVT03 60 mg administered s.c. on Day365. * Prolia 60 mg administered s.c. on Day365.
Percent Change From Baseline in LS BMD at Month 12 to Demonstrate Comparable Efficacy of AVT03 and Prolia®.
Percent Change From Baseline in LS BMD at Month 12 to demonstrate comparable efficacy of AVT03 and Prolia®.
Time frame: Baseline to Month 12
To Demonstrate Comparable Profile of AVT03 and Prolia in Terms of Area Under the Percent Change From Baseline in Serum C-telopeptide of Type 1 Collagen (AUEC of %Cfb sCTX-1)
Time frame: Baseline to Month 6
Percent Change From Baseline in LS BMD
Percent change from Baseline in LS BMD at 6 and 18 months
Time frame: Month 6, Month18
Percent Change From Baseline in Hip and Femoral Neck BMD
Percent change from Baseline in hip and femoral neck BMD at Month 6, 12 and 18 months
Time frame: Month 6, Month 12, Month 18
Incidence of New Morphometric Vertebral Fractures
Incidence of new morphometric vertebral fractures at 12 and 18 months
Time frame: Month 12 and 18
Percent Change From Baseline in sCTX-1
Percent change from Baseline in sCTX-1 at 3, 6, 9, 12 and 18 months
Time frame: Month 3, Month 6, Month 9, Month 12 and Month 18
Incidence, Nature and Severity of Adverse Events Including Adverse Drug Reactions
Time frame: Month 18
Frequency and Severity of Injection Site Reactions
Time frame: Month 12
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Investigational Site 3501
Plovdiv, Bulgaria
Investigational Site 3503
Plovdiv, Bulgaria
Investigational Site 3502
Stara Zagora, Bulgaria
Investigational Site 4201
Prague, Czechia
Investigational Site 4202
Uherské Hradiště, Czechia
Investigational Site 9901
Tbilisi, Georgia
Investigational Site 9902
Tbilisi, Georgia
Investigational Site 9903
Tbilisi, Georgia
Investigational Site 9904
Tbilisi, Georgia
Investigational Site 9905
Tbilisi, Georgia
...and 24 more locations
Frequency and Severity of Findings in Routine Safety Parameters
Time frame: Month 18
Frequency and Titer of Anti-drug Antibodies and Frequency of Neutralizing Antibodies Against AVT03 and Prolia
Time frame: Month 18
Serum Trough Concentration of AVT03 and Prolia
Time frame: Month 18