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HealthyPhase 1NCT02045979

Pharmacokinetics and Safety in Healthy Volunteers

A Phase 1 study testing BI 695501, adalimumab-EU source and adalimumab-US source in people with Healthy, run by Boehringer Ingelheim at 3 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Investigate the pharmacokinetics, safety and tolerability of BI695501 and to establish pharmacokinetic similarity of BI 695501 to adalimumab. Read more about this study

Who is it for?
Ages 18 to 55 years, men onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
BI 695501, adalimumab-EU source and adalimumab-US source
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
327 participants
Where
3 sitesin 2 countries
Study dates
31 Jan 2014to 20 Jun 2014
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy males according to the following criteria:
  • Based upon a complete medical history, including the physical examination, vital signs (blood pressure [BP] and pulse rate [PR]), 12-lead electrocardiogram (ECG), and clinical laboratory tests;
  • Age-greater than or equal to 18 years and less than or equal to 55 years;
  • Body mass index (BMI) =18.5 to =29.9 kg/m2; and
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice and the local legislation.

Who cannot join

  • Any clinically relevant abnormal finding of the medical examination (including blood pressure (BP), pulse rate (PR), and electrocardiogram (ECG) deviating from normal and of clinical relevance;
  • Any evidence of a clinically relevant previous or concomitant disease as judged by the investigator including gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological, hormonal disorders, or diseases of the central nervous system (such as epilepsy), psychiatric disorders, or neurological disorders;
  • History of relevant orthostatic hypotension, fainting spells, or blackouts;
  • Chronic or relevant acute infections. A negative result for human immunodeficiency virus (HIV), Hepatitis B (Hep B), and hepatitis C (Hep C) is required for participation;
  • History of relevant allergy/hypersensitivity (including allergy to drug or its excipients);
  • Intake of prescribed or over-the-counter drugs with a long half-life (greater than 24 hours) within at least one month or at least 5 half-lives of the respective drug (whichever is longer) prior to administration or during the trial;
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  • Previous exposure of a biologic drug;
  • Use of drugs which might reasonably influence the results of the trial prior to dosing and at any time during the trial;
  • Intake of an investigational drug in another trial within two months prior to intake of study medication in this trial or intake of an investigational drug during the course of this trial;
  • Smoker (greater than 10 cigarettes or greater than 3 cigars or greater than 3 pipes/day);
  • Inability to refrain from smoking during days of confinement at the trial site;
  • History of alcohol abuse (estimated average more than 4 units/day);
  • Unwillingness/inability to refrain from intake of alcoholic beverages from 48 hours prior to the study medication administration and until Day 7 post study medication administration;
  • Unwillingness/inability to limit alcohol intake to a maximum of three units per day until e.o.s.;
  • Current drug abuse;
  • Blood donation (more than 100 mL within four weeks prior to administration of the study medication or during the trial);
  • Vigorous exercise 72 hours prior to dosing. Unwilling to avoid vigorous exercise for 7 days post dosing. Contact sport should be avoided during the entire study;
  • Any out-of-range laboratory values considered clinically significant by the investigator; subjects with creatine kinase (CK) values three times the upper limit of normal (ULN) at Day -1 are excluded from participation;
  • Subjects considered unsuitable for inclusion by the investigator (e.g., inability to understand and comply with the study requirements or presence of any condition which, in the opinion of the investigator, would not allow safe participation in the study); or
  • Inability to comply with dietary regimen of trial site.
  • Subjects with known Human immunodeficiency virus (HIV), Acquired Immunodeficiency Syndrome, other clinically significant immunological disorders, or auto-immune disorders, (e.g., Rheumatoid arthritis (RA), lupus erythematosus, scleroderma, etc.);
  • Subject has received a live or attenuated vaccine within 12 weeks prior to enrolling in the trial; or
  • Positive finding in Interferon-gamma-release assay testing (IGRA-T). In cases where at the screening visit the IGRA result is indeterminate, the subject will have a PPD skin test performed, provided that the screening period timeframe can be maintained. If not, the subject will not be enrolled in this study.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

New Zealand2 sites
  • 1297.8.2001 Boehringer Ingelheim Investigational Site

    Auckland

  • 1297.8.2002 Boehringer Ingelheim Investigational Site

    Christchurch

Other trials in New Zealand

Belgium1 site
  • 1297.8.1001 Boehringer Ingelheim Investigational Site

    Antwerp

Other trials in Belgium

About this study

Official title: Pharmacokinetics and Safety of BI 695501 in Healthy Subjects: a Randomized, Double-blind, Single Dose, Parallel-arm, Active Comparator Clinical Phase I Study

Investigate the pharmacokinetics, safety and tolerability of BI695501 and to establish pharmacokinetic similarity of BI 695501 to adalimumab.

Conditions
Healthy
Being tested
BI 695501, adalimumab-EU source, adalimumab-US source

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 695501Drug

    BI 695501 single s.c. injection

  • adalimumab-EU sourceDrug

    adalimumab-EU source single s.c. injection

  • adalimumab-US sourceDrug

    adalimumab-US source single s.c. injection.

Study groups in NCT02045979
Study groupRoleWhat they receive
BI 695501ExperimentalSubject to receive one subcutaneous (s.c.) injection from a prefilled syringe containing BI 695501
Receives: Drug: BI 695501
adalimumab-EU sourceActive comparatorSubject to receive one subcutaneous (s.c.) injection from a prefilled syringe containing adalimumab-EU source
Receives: Drug: adalimumab-EU source
adalimumab-US sourceActive comparatorSubject to receive one subcutaneous (s.c.) injection from a prefilled syringe containing adalimumab-US source
Receives: Drug: adalimumab-US source

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the Concentration Time Curve (AUC) From Time Zero to Infinity (AUC 0-∞) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to infinity (AUC 0-∞) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    Abbreviation used: Pharmacokinetics (PK).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032, 1320 h post dosing and on day 71 post dosing.

  2. Area Under the Concentration Time Curve From Time Zero to Last Measurable Concentration (AUC0-tz) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve from time zero to last measurable concentration (AUC0-tz) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032, 1320 h post dosing and on day 71 post dosing.

  3. Maximum Concentration (Cmax) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Maximum concentration (Cmax) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032, 1320 h post dosing and on day 71 post dosing.

Secondary outcomes (7)
  1. AUC (0-168) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to 168 hours post dose (AUC 0-168) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    PK is the abbreviation for Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168 hours post dosing

  2. AUC (0-312) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to 312 hours post dose (AUC 0-312) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    PK is the abbreviation for Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312 hours post dosing

  3. AUC (0-480) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to 480 hours post dose (AUC 0-480) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    PK is the abbreviation for Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480 hours post dosing

  4. AUC (0-648) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to 648 hours post dose (AUC 0-648) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    PK is the abbreviation for Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648 hours post dosing

  5. AUC (0-1032) of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to 1032 hours post dose (AUC 0-1032) of BI 695501, US-licensed Humira® or EU-approved Humira® PK is the abbreviation for Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032 hours post dosing

  6. AUC 0-∞,Obs of BI 695501, US-licensed Humira® or EU-approved Humira®

    Area under the concentration time curve (AUC) from time zero to infinity (AUC 0-∞) based on the last observed concentration at time of last measureable concentration (tz) of BI 695501, US-licensed Humira® or EU-approved Humira®.

    PK is the abbreviation of Pharmacokinetic(s).

    Measured: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032, 1320 h post dosing and on day 71 post dosing.

  7. Number (Proportion) of Subjects With Drug Related Adverse Events

    All events with an onset after the first administration of the trial medication up to a period of 70 days after the last administration of the trial medication (i.e., end of the REP) was assigned to the treatment phase for evaluation and was defined as a treatment-emergent AE (TEAE). A treatment-related AE was defined as any TEAE assessed by the investigator as related to the trial medication.

    All safety data were displayed and analyzed using descriptive statistical methods. No formal inferential analyses were planned for safety comparisons. Tabulations of frequencies and proportions, as appropriate were used for the evaluation of categorical (qualitative) data, and tabulations of descriptive statistics were used to analyze continuous (quantitative) data.

    Measured: Day 1 through Day 71

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Jan 2014 (estimated)
  2. Study start31 Jan 2014
  3. Primary completion20 Jun 2014
  4. Study completion20 Jun 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Enrolment
327 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02045979
Sponsor's protocol ID
1297.8
Other IDs
2013-003722-84
Status last verified
Sep 2017
First submitted
23 Jan 2014
Last updated
20 Jun 2018

Publications

  • Huizinga TWJ, Torii Y, Muniz R. Adalimumab Biosimilars in the Treatment of Rheumatoid Arthritis: A Systematic Review of the Evidence for Biosimilarity. Rheumatol Ther. 2021 Mar;8(1):41-61. doi: 10.1007/s40744-020-00259-8. Epub 2020 Dec 1.

    PubMed 33263165
  • Kang J, Eudy-Byrne RJ, Mondick J, Knebel W, Jayadeva G, Liesenfeld KH. Population pharmacokinetics of adalimumab biosimilar adalimumab-adbm and reference product in healthy subjects and patients with rheumatoid arthritis to assess pharmacokinetic similarity. Br J Clin Pharmacol. 2020 Nov;86(11):2274-2285. doi: 10.1111/bcp.14330. Epub 2020 Jun 11.

    PubMed 32363771
  • Wynne C, Altendorfer M, Sonderegger I, Gheyle L, Ellis-Pegler R, Buschke S, Lang B, Assudani D, Athalye S, Czeloth N. Bioequivalence, safety and immunogenicity of BI 695501, an adalimumab biosimilar candidate, compared with the reference biologic in a randomized, double-blind, active comparator phase I clinical study (VOLTAIRE(R)-PK) in healthy subjects. Expert Opin Investig Drugs. 2016 Dec;25(12):1361-1370. doi: 10.1080/13543784.2016.1255724.

    PubMed 27813422

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 695501, adalimumab-EU source and adalimumab-US source in people with Healthy, run by Boehringer Ingelheim at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Jun 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in New Zealand, Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Concentration Time Curve (AUC) From Time Zero to Infinity (AUC 0-∞) of BI 695501, US-licensed Humira® or EU-approved Humira® (time frame: at -1 hour (h) (pre dosing) and 1h, 4, 8, 12, 24, 48, 72, 84, 96, 108, 120, 132, 144, 168, 192, 240, 312, 480, 648, 1032, 1320 h post dosing and on day 71 post dosing.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02045979, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jun 2018.

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