Clinical trial NCT03357939: Phase I Study of HLX3 vs Adalimumab in Chinese Healthy Subjects
Official title: A Phase 1 Randomized,Double-Blind and Parallel Controlled Single-dose Clinical Trial of Pharmacokinetics, Safety, Tolerability and Immunogenicity of HLX03 Compared With Humira® From China Source in Chinese Healthy Male Subjects
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: Immune System Disorder
Keywords: HLX03
adalimumab
pharmacokinetics
biosimilar
Lead sponsor: Shanghai Henlius Biotech
Sponsor class: INDUSTRY
First posted: 2017-11-30
Enrollment: 220
Sex: MALE
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This healthy male volunteers study will evaluate 148 subjects who will receive a single sub-cutaneous dose of HLX03 （a monoclonal antibody against TNF-a, 40 mg/ 0.8 mL） or Adalimumab(Humira,China spourced,40 mg/0.8 mL injection with a single-use prefilled syringe). This study will involve sampling,pharmacokinetics, safety, tolerability and immunogenicity evaluation of drug levels following administration of HLX03 and the licensed adalimumab products.

Detailed description: This is a randomized, doubl-blinded, parellel-controlled phase 1 PK, safety, tolerability and immunogenicitiy study to compare HLX03, designed as an Adalimumab biosimilar, with China sourced Humira in Chinese health volunteers. All enrolled subjects will receive a single dose of HLX03 (40 mg）or Humira(adalimumab, 40 mg) in subcutaneous injectioin after randomization.

The purpose of this study to prove the similarity in PK, Safety, tolerability and immunogenicity beween HLX03（adalimumab biosimilar） and China sourced Humira and provide evidence for Phase III comparison study.

The blood will be collected before drug administration, and at 1 hr、4 hr、8 hr、24 hr (1d)、48 hr (2d)、72 hr (3d)、96 hr (4d)、、144 hr (6d)、192 hr (8d)、240 hr (10d)、 336 hr (14d)、504 hr (21d)、672 hr (28d)、840 hr (35d)、1008 hr (42d)、1176 hr (49d)、1344 hr (56d)、1680 hr (70d) after drug injection for PK, ADA, etc analysis. All subjects also will be followed up at 0, 1,2,3,4,6,8,10,14,21,28,35, 42, 49, 56, and 70 days after drug administration for AE and other specified outcomes.

The main endpoint is AUC from time zero to ∞. The second endpoints include Cmax, Tmax, T1/2, CL, Vd and AUC（0-last）.

This is single center study in China.

Eligibility criteria: Inclusion Criteria:

1. Healthy Chinese males (age: 18\~45 yrs) with contraception during and 3 months post-dose. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination including blood pressure, pulse, ECG, and laboratory testing.
2. BMI between 19.0 and 28.0 kg/m² and body weight between 55 kg and 80 kg.

Exclusion Criteria:

1. suffering from active or latent tuberculosis or history of tuberculosis;
2. have heart disease or a history of heart disease;
3. suffer from mental illness or psychiatric history;
4. suffering from malignant tumors and their history;
5. suffering from herpes zoster and its history;
6. suffering from epilepsy and history of epilepsy;
7. be allergic to the drugs or its components with high sensitivity or allergic reaction, detection of ADA (+);
8. patients who lost blood or donated more than 200 mL within the first 2 months before the screening;
9. major surgery performed within 30 days prior to signing ICF;
10. live vaccine inoculation or vaccination within 12 weeks of screening, or possible administration of vaccine during screening and study visits;
11. previous application of adalimumab or its biosimilars, or anti-TNF alpha drugs;
12. participating in other clinical trials within the first 3 months of the trial;
13. abnormal immune function within 4 weeks before screening;
14. the presence of invasive systemic fungal infection or other opportunistic infections within 2 months prior to screening;
15. systemic or local infection, such as the risk of sepsis and / or known active inflammation within 2 months before screening;
16. 2 months before the screening, there were severe infections in the hospital and / or the need for intravenous antibiotics;
17. 4 or more upper respiratory tract infections occurred within 6 months prior to randomization;
18. hepatitis B surface antigen (HBsAg) positive; if hepatitis B surface antigen (HBsAg) negative, hepatitis B core antibody (HBcAb) positive, peripheral blood hepatitis B virus deoxyribonucleic acid (DNA) test \>0 IU/ml also ruled out;
19. hepatitis C virus (HCV) antibody positive;
20. human immunodeficiency virus (HIV) antibody positive;
21. Treponema pallidum (Treponema pallidum, TP) antibody positive;
22. anti nuclear antibody titer was 1:100 examination;
23. drug abusers, alcohol addicts;
24. , the researchers discretion of failure to follow the requirements of the program, instructions and research limitations, such as uncooperative attitude, unable to return to the Research Center for follow-up visits, or unable to complete the entire clinical study.

Primary outcomes:
measure: Maximum Concentration（Cmax） of Adalimumab After Single SC Injection of HLX03/Humira
timeFrame: 71 days post-dose
measure: Area Under the Plasma Concentration-time Curve From Zero (0) Hours to the last quantifiable concentration
timeFrame: 71 days post-dose
Secondary outcomes:
measure: Area Under the Plasma Concentration-time Curve From Zero (0) to Time Infinity
timeFrame: 71 days post-dose
measure: Time to Maximum Concentration（Tmax） of Adalimumab After Single SC Injection
timeFrame: 71 days post-dose
measure: Half-life time of adalimumab after single SC injection of HXL03/Humira
timeFrame: 71 days
Other outcomes:
Locations:
city: Chang Chun
country: China
facility: the 1st affiliated hospital of Jilin University
state: Jilin
Study officials:
affiliation: The 1st affiliated hospital, Jilin University, PRC
name: Yanhua Ding, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Zhang H, Wu M, Sun J, Zhu X, Li C, Ding Y, Zhang X, Chai K, Li X. Pharmacokinetics, safety, and immunogenicity of HLX03, an adalimumab biosimilar, compared with reference biologic in healthy Chinese male volunteers: Results of a randomized, double-blind, parallel-controlled, phase 1 study. Pharmacol Res Perspect. 2021 Apr;9(2):e00733. doi: 10.1002/prp2.733.