Hulio is a monoclonal antibody currently approved as a biosimilar to European Union approved and United States (US)-Licensed Humira. This is a multicenter, randomized blinded, parallel group, interchangeability study in subjects with moderate to severe chronic plaque psoriasis, undergoing repeated switches between Humira and Hulio. The study is designed to confirm the pharmacokinetic equivalence of alternating between the use of Humira and Hulio and, Humira without such alternation or switch, in accordance with the US Food and Drug Administration Guidance for Industry, Considerations in Demonstrating Interchangeability with a Reference Product. The study will also assess safety, efficacy and immunogenicity between these two groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
374
Humira (40 mg every other week)
• Subjects will receive Humira (initial dose of 80 mg \[2 × 40 mg\]; Day 1 administered subcutaneously (SC), followed by 40 mg SC given every other week starting 1 week after the initial dose (last dose at Week 10). Hulio (40 mg every other week) at Week 12 and Week 14 * Humira (40 mg every other week) at Week 16 and Week 18, and * Hulio (40 mg every other week) at Week 20, Week 22, Week 24 and Week 26.
Site 407 - Medical Centre "Asklepii", OOD
Dupnitsa, Bulgaria
Site 409 - Medical center Medconsult Pleven OOD
Pleven, Bulgaria
Site 403 - MC Rusemed ltd.
Rousse, Bulgaria
Site 406 - Medical Center Unimed Eood
Sevlievo, Bulgaria
Site 401 - Ambulatory for Specialized Medical Help - skin and venereal diseases
Sofia, Bulgaria
Primary Endpoints: Pharmacokinetics (PK) - AUC
AUCτ, 26-28 (Area under the adalimumab concentration-time curve \[AUC\] over the dosing interval of Week 26-28)
Time frame: Week 26 - 28
Primary Endpoints: Pharmacokinetics (PK) - Cmax
Cmax, 26-28 (Maximum observed adalimumab concentration during the dosing interval Week 26-28).
Time frame: Week 26 - 28
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Site 402 - DCC "Alexandrovska", EOOD
Sofia, Bulgaria
Site 404 - DCC Focus 5 - MEOH OOD
Sofia, Bulgaria
Site 405 - Medical Center Hera EOOD
Sofia, Bulgaria
Site 408 - DCC "Alexandrovska", EOOD
Sofia, Bulgaria
Site 410 - DCC XXVIII
Sofia, Bulgaria
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