Alvotech, Kashiv Biosciences, and Advanz Pharma announced positive topline results from a confirmatory efficacy study of AVT23, a proposed biosimilar to Xolair (omalizumab), demonstrating therapeutic equivalence and comparable safety in chronic spontaneous urticaria patients.
The randomized, double-blind study enrolled 600 patients and met its primary endpoint of change from baseline in weekly Itch Severity Score at Week 12, with 400 patients receiving the confirmatory 300 mg dose evaluated for efficacy and safety.
The UK Medicines and Healthcare Products Regulatory Agency has accepted the marketing authorization application for AVT23, targeting a market where Xolair generated approximately $4.4 billion in global sales in 2024.
An application to the European Medicines Agency is expected before year-end, as the companies advance their biosimilar candidate for severe persistent allergic asthma, chronic rhinosinusitis with nasal polyps, and IgE-mediated food allergy indications.