Comparative Immunogenicity Study of Multiple Doses of Proposed Pegfilgrastim Biosimilar, INTP5 of Intas Pharmaceuticals Ltd., India Against Neulasta of Amgen Inc., USA in Healthy, Adult Human Subjects.
Condition: Immunogenicity; Healthy Volunteers
Intervention: INTP5; US Neulasta
Intervention description: INTP5, a pegfilgrastim biosimilar to US Neulasta.; US Neulasta: FDA approved pegfilgrastim innovator product.
Phase: Phase 1
Study type: Interventional
Primary purpose: Other
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking description: The study staff taking care of subject's safety and the laboratory personnel doing the sample analysis of PK, PD, and immunogenicity data were blinded
Enrollment: 200.0
Sex: All
Minimum age: 18 Years
Maximum age: 45 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Pegfilgrastim; Biosimilar; Immunogenicity; Pharmacokinetics; Pharmacodynamics; Safety; Healthy Volunteers

Summary:

      The study was an assessor-blind, balanced, parallel, randomized, two-treatment, comparative
      immunogenicity study of multiple doses of subcutaneous (SC) Pegfilgrastim injection (6 mg/0.6
      mL; Intas Pharmaceuticals Ltd. proposed biosimilar INTP5 compared to innovator product,
      US-Neulasta) in healthy, adult, human subjects under fed conditions.
    

Eligibility criteria:

        Inclusion criteria:

          1. Normal, healthy adult human volunteers between 18 to 45 years of age (both inclusive)
             living in and around Ahmedabad city or western part of India.

          2. Having body weight ≥50 kg and body mass index (BMI) between 18.5 and 29.9 (both
             inclusive), calculated as weight in kg/height in meter^2.

          3. Not having any significant disease in medical history or clinically significant
             abnormal findings during screening, abdominal ultrasonography, medical history,
             clinical examination, laboratory evaluations, 12-lead echocardiogram (ECG) and chest
             X-ray (posterior-anterior view; within the last 6 months) recordings.

          4. Able to understand and comply with the study procedures, in the opinion of the
             investigator.

          5. Able to give voluntary written informed consent for participation in the trial.

          6. In case of female subjects:

               -  Surgically sterilized at least 6 months prior to study participation; Or If a
                  woman of child bearing potential is willing to use a suitable and effective
                  double barrier contraceptive method or intra uterine device during the study.

               -  Serum pregnancy test (for female subjects) must be negative.

        Exclusion criteria:

          1. Known hypersensitivity to the study drug or its constituents and/or hypersensitivity
             to E. coli derived proteins, and/or previous exposure to the study drug.

          2. History or presence of any disease or condition which might compromise the
             haemopoietic, renal, hepatic, endocrine, pulmonary, central nervous, cardiovascular,
             immunological, dermatological, gastrointestinal or any other body system.

          3. Known case of hereditary fructose intolerance.

          4. Subjects with latex allergies will be excluded as the needle cover on the single-use
             prefilled syringe contains dry natural rubber (latex).

          5. Any clinically significant laboratory finding including absolute neutrophil count
             (ANC), platelet, red blood cells (RBC) count, and hemoglobin level at the time of
             screening.

          6. Prior exposure to any peptide colony stimulating or growth factor, including
             erythropoietin, filgrastim or Pegfilgrastim; Prior exposure to any vaccines,
             immunoglobulin preparations or immunomodulators within the past 6 months prior to
             receiving first dose; evidence of E. coli diarrhea or diseases within 3 months.

          7. Any history or presence of asthma (including aspirin-induced asthma) or nasal polyp or
             NSAIDs induced urticaria.

          8. Subjects with a history of pulmonary infiltrate or pneumonia in the last 6 months.

          9. History of any hematologic disease including sickle cell disorders.

         10. Ingestion or use of any prescribed medication at any time within 1 month prior to
             receiving first dose.

         11. Receipt of over-the-counter medicines which have not yet cleared from the body (5
             half-lives must have passed for the medicine to be considered to have cleared from the
             body).

         12. A recent history of harmful use of alcohol, i.e. alcohol consumption of more than 14
             standard drinks per week for men and more than 7 standard drinks per week for women (A
             standard drink is defined as 360 mL of beer or 150 mL of wine or 45 mL of 40%
             distilled spirits, such as rum, whisky, brandy etc.) or consumption of alcohol or
             alcoholic products within 72 hours prior to receiving study medicine.

         13. Smokers, who smoke 10 or more than 10 cigarettes/day or inability to abstain from
             smoking during the study.

         14. Use of any recreational drugs or history of drug addiction or testing positive in
             pre-study drug scans.

         15. Donation of blood (1 unit or 350 mL) or equivalent amount of blood substitute.

         16. Receipt of an investigational medicinal product or participation in a drug research
             study within a period of 90 days prior to the first dose of study medication.
             Elimination half-life of the study drug should be taken into consideration for
             inclusion of the subject in the study.

         17. Positive result for human immunodeficiency virus (HIV I &/or II) and/or hepatitis B
             and C tests.

         18. History or presence of cancer because of which anticipated life span is less than 5
             years as per the investigator's assessment.

         19. History or presence of psychiatric disorders.

         20. Presence of tattoo or scars or any type of skin lesions due to infection, burning,
             wound or inflammation at the proposed site of injection.

         21. An unusual diet, for whatever reason (e.g. low-sodium), for 4 weeks prior to receiving
             the study medicine. In any such case, subject selection will be at the discretion of
             the Principal Investigator.

         22. Consumption of grape fruit or grape fruit products within 72 hours prior to receiving
             study drug.

         23. A history of difficulty in donating blood.

         24. Females, pregnant or lactating, or planning to become pregnant during the time the
             subject is on study or found positive in pregnancy test at screening.

         25. Any infections in the last 4 weeks before receiving study medication.