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Multicenter Study in Postmenopausal Women with Osteoporosis, ALVOBOND

Phase 3
Completed
Conditions
Osteoporosis, Postmenopausal
Interventions
Registration Number
NCT05395091
Lead Sponsor
Alvotech Swiss AG
Brief Summary

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.

Detailed Description

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 At Month 12, subjects in AVT03 treatment group will receive a third dose of AVT03 60 mg administered s.c. while subjects in Prolia® treatment group will be re-randomized 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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
532
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ProliaDenosumab-
AVT03AVT03AVT03 is the proposed biosimilar for Prolia.
Primary Outcome Measures
NameTimeMethod
To demonstrate clinical similarity of AVT03 and Prolia® in terms of change in Bone Mineral Density (BMD).Month 12

Change in BMD

To demonstrate clinical similarity 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)Month 6
Secondary Outcome Measures
NameTimeMethod
Percent change from Baseline in LS BMDMonth 18

Percent change from Baseline in LS BMD at 6 and 18 months

Incidence, nature and severity of adverse events including adverse drug reactionsMonth 18
Percent change from Baseline in hip and femoral neck BMDMonth 6, Month 12, Month 18

Percent change from Baseline in hip and femoral neck BMD at Month 6, 12 and 18 months

Incidence of new morphometric vertebral fracturesMonth 12 and 18

Incidence of new morphometric vertebral fractures at 12 and 18 months

Frequency and severity of injection site reactionsMonth 12
Frequency and titer of anti-drug antibodies and frequency of neutralizing antibodies against AVT03 and ProliaMonth 18
Serum trough concentration of AVT03 and ProliaMonth 18
Percent change from Baseline in sCTX-1Month 3, Month 6, Month 9, Month 12 and Month 18

Percent change from Baseline in sCTX-1 at 3, 6, 9, 12 and 18 months

Frequency and severity of findings in routine safety parametersMonth 18

Trial Locations

Locations (34)

Investigational Site 9903

🇬🇪

Tbilisi, Georgia

Investigational Site 9905

🇬🇪

Tbilisi, Georgia

Investigational Site 4810

🇵🇱

Zamość, Poland

Investigational Site 2714

🇿🇦

Cape Town, South Africa

Investigational Site 2710

🇿🇦

Groenkloof, South Africa

Investigational Site 2711

🇿🇦

Parow, South Africa

Investigational Site 2706

🇿🇦

Pretoria, South Africa

Investigational Site 2701

🇿🇦

Port Elizabeth, South Africa

Investigational Site 2703

🇿🇦

Worcester, South Africa

Investigational Site 3501

🇧🇬

Plovdiv, Bulgaria

Investigational Site 4804

🇵🇱

Białystok, Poland

Investigational Site 3503

🇧🇬

Plovdiv, Bulgaria

Investigational Site 9901

🇬🇪

Tbilisi, Georgia

Investigational Site 9902

🇬🇪

Tbilisi, Georgia

Investigational Site 4803

🇵🇱

Białystok, Poland

Investigational Site 4802

🇵🇱

Kraków, Poland

Investigational Site 4806

🇵🇱

Łódź, Poland

Investigational Site 9906

🇬🇪

Tbilisi, Georgia

Investigational Site 4807

🇵🇱

Kraków, Poland

Investigational Site 4801

🇵🇱

Skierniewice, Poland

Investigational Site 9904

🇬🇪

Tbilisi, Georgia

Investigational Site 4812

🇵🇱

Poznań, Poland

Investigational Site 4809

🇵🇱

Warsaw, Poland

Investigational Site 4805

🇵🇱

Świdnik, Poland

Investigational Site 3502

🇧🇬

Stara Zagora, Bulgaria

Investigational Site 4201

🇨🇿

Praha, Czechia

Investigational Site 4202

🇨🇿

Uherské Hradiště, Czechia

Investigational Site 4811

🇵🇱

Lublin, Poland

Investigational Site 2705

🇿🇦

Bloemfontein, South Africa

Investigational Site 2708

🇿🇦

Centurion, South Africa

Investigational Site 2707

🇿🇦

Centurion, South Africa

Investigational Site 2712

🇿🇦

Johannesburg, South Africa

Investigational Site 2702

🇿🇦

Kwadukuza, South Africa

Investigational Site 2713

🇿🇦

Pretoria, South Africa

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