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Healthy VolunteersPhase 1NAPNCT04601389

Study of Pharmacokinetics, Pharmacodynamics and Safety Assessment of GNR-044 (JSC GENERIUM, Russia) and Xolair®

A Phase 1 study testing Omalizumab (JSC "GENERIUM", the Russian Federation) and Xolair® (Novartis Pharma AG, Switzerland) in people with Healthy Volunteers, run by AO GENERIUM at 2 sites in Russia.

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

An open-label, randomized, in parallel groups comparative study of pharmacokinetics, pharmacodynamics, immunogenicity and safety of GNR-044 (JSC "GENERIUM", Russian Federation) and Xolair® ("Novartis Pharma AG", Switzerland) after single subcutaneous administration in healthy volunteers at 150 mg Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Volunteers
What is being tested?
Omalizumab (JSC "GENERIUM", the Russian Federation) and Xolair® (Novartis Pharma AG, Switzerland)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
2 sitesRussia
Study dates
18 Apr 2017to 6 Sep 2017
Phase
Phase 1
Are there results?
None posted in the registry

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 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Men and women between the ages of 18 and 50 (inclusive) at the time of the Informed Consent Form.
  • The diagnosis is "healthy" according to haematology and biochemical blood tests, urinalysis, results of physical examination, measurements of vital signs, results of electrocardiography.
  • Bodyweight from 40 to 90 kg inclusive.
  • Body mass index 18.5-30 kg / m2 inclusive.
  • Initial concentration of total IgE: ≥30 IU / ml and ≤300 IU / ml.
  • Comply with the rules of contraception by the study participants.

Who cannot join

  • Monoclonal antibodies administration within 1 year before taking omalizumab.
  • Hypersensitivity to any of the used study drug, to their components, history of an undesirable drug reaction.
  • Concurrent diseases and conditions with potential impact on the patient's safety, pharmacokinetics or pharmacodynamics.
  • The drug's use that affects pharmacokinetics or pharmacodynamics (injectable glucocorticosteroid drugs, allergen-specific immunotherapy, immunosuppressive drugs, vaccination within 30 days before signing informed consent and/or the need for vaccination during the study period).
  • Women of childbearing potential not using the contraception method(s), as well as women who are breastfeeding.
  • Patients with severe medical conditions that in the view of the investigator prohibits participation in the study.
  • Concurrent therapy with investigational agents.
  • A history of autoimmune disease.

Trial locations and contacts

2 sites in 1 country.

Russia2 sites
  • State budgetary institution of health care of the city of Moscow "City outpatients clinic No. 2 of the Department of Health of the city of Moscow"

    Moscow, RF, 117556

  • Federal State Budgetary Institution "State Scientific Center Institute of Immunology" by Federal Medical and Biological Agency of the Russian Federation

    Moscow, 115478

Other trials in Russia

About this study

Official title: An Open-label, Randomized, in Parallel Groups Comparative Study of Pharmacokinetics, Pharmacodynamics, Immunogenicity and Safety of Omalizumab (JSC "GENERIUM", Russia) and Xolair® ("Novartis Pharma AG", Switzerland) After Single-dose Subcutaneous Administration in Healthy Volunteers at 150 mg

An open-label, randomized, in parallel groups comparative study of pharmacokinetics, pharmacodynamics, immunogenicity and safety of GNR-044 (JSC "GENERIUM", Russian Federation) and Xolair® ("Novartis Pharma AG", Switzerland) after single subcutaneous administration in healthy volunteers at 150 mg

Read the detailed description

There is an increasing incidence of bronchial asthma (BA) and other allergic diseases around the world. Bronchial asthma suffers from 4 to 10% of the world population, in Russian Federation, the incidence of BA across the adult population ranges from 2.2 to 5-7%, in the child population is about 10%.

Severe BA is associated not only with frequent hospitalizations and increased mortality but also with high treatment costs.

As to it, there is a hot button issue of developing new drugs for treating patients not to be achieved effectively with standard therapy. Considering the leading pathogenesis role of IgE-mediated allergy, the use of drugs to block IgE makes it possible to control the disease at the earliest allergic reaction phase of the development. It was shown that the IgE elimination from the mast cells and basophils surface reduced the severity of acute allergic reactions, reduced the allergen-induced late phase of the immune response and infiltration with inflammatory cells. These anti-IgE antibodies effects have been shown in various studies.

One of these drugs is оmalizumab (Xolair®). The drug has been approved in various countries across the world, including the United States and the European Union for the severe allergic BA and chronic idiopathic urticaria treatment. In the Russian Federation, omalizumab was registered in May 2007.

The drug GNR-044 (JSC "GENERIUM", Russian Federation) is biosimilar to the original drug Xolair®. This study is aimed to compare the safety and pharmacokinetics of the drug GNR-044 (JSC "GENERIUM", Russian Federation) and the drug Xolair® in order to register of the drug GNR-044 (JSC "GENERIUM", Russian Federation), a lyophilizate for subcutaneous administration, in the Russian Federation.

Being tested
Omalizumab (JSC "GENERIUM", the Russian Federation), Xolair® (Novartis Pharma AG, Switzerland)
Keywords
omalizumab, humanized monoclonal antibodies, total or free IgE, pharmacokinetics, pharmacodynamics, safety, bronchial asthma, health volunteers, equivalence, biosimilar, anti-allergic agents, anti-asthmatic agents, respiratory system agents, hypersensitivity, immune system diseases, urticaria
Medical subject headings
Asthma, Hypersensitivity, Immune System Diseases, Urticaria

What participants receive

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

  • Omalizumab (JSC "GENERIUM", the Russian Federation)Biological

    Also called omalizumab, GNR-044

    150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area

  • Xolair® (Novartis Pharma AG, Switzerland)Biological

    Also called omalizumab

    150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area

Study groups in NCT04601389
Study groupRoleWhat they receive
GNR-044 (JSC "GENERIUM", the Russian Federation)Experimental150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area
Receives: Biological: Omalizumab (JSC "GENERIUM", the Russian Federation)
Xolair® (Novartis Pharma AG, Switzerland)Active comparator150 mg of omalizumab was subcutaneously injected once in the deltoid muscle area
Receives: Biological: Xolair® (Novartis Pharma AG, Switzerland)

What is being measured

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

  1. Assessment of the pharmacokinetic parameter - Tmax

    Tmax - Time to reach maximum concentration (day)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  2. Assessment of the pharmacokinetic parameters - Cmax

    Cmax - Maximum concentration (μg / ml)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  3. Assessment of the pharmacokinetic parameters - AUC0-∞

    AUC0-∞ - Area under the concentration-time curve (mgday / ml) in the time interval from 0 to ∞

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  4. Assessment of the pharmacokinetic parameters - AUC0-2016 h

    AUC0-2016 h - Area under the concentration-time curve (mg day / ml) in the time interval from 0 to 2016 h

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  5. Assessment of the pharmacokinetic parameters - Kel

    Kel - Elimination constant (day - 1)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  6. Assessment of the pharmacokinetic parameters - Vd/F

    Vd/F - Apparent volume of distribution (l)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  7. Assessment of the pharmacokinetic parameters - CL/F

    CL/F - Apparent systemic clearance (ml / day)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  8. Assessment of the pharmacokinetic parameters - T1/2

    T1/2 - Half-life (day)

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  9. Assessment of the pharmacodynamics parameters - AUEC

    AUEC - (area under efficacy curve) the area under the curve "Relative difference in the free IgE concentration compared to the initial value - time"

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  10. Assessment of the pharmacodynamics parameters - Cmax

    Cmax - Maximum relative difference in free IgE concentration compared to baseline

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

  11. Assessment of the pharmacodynamics parameters - relative difference estimation in free IgE concentration at each measurement point compared to baseline

    • relative difference estimation in free IgE concentration at each measurement point compared to baseline

    Measured: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration

Secondary outcomes (12)
  1. The frequency of antidrug antibodies formation

    The frequency of antidrug antibodies formation

    Measured: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration

  2. Antidrug antibody rate

    Antidrug antibody rate

    Measured: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration

  3. Neutralising antibodies rate

    Neutralising antibodies rate

    Measured: Before drug administration, on Day 15 ± 1 day, Day 42 ± 2 days and Day 85 ± 2 days after drug administration

  4. Body temperature measurement

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - body temperature measurement

    Measured: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration

  5. Systolic blood pressure

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - systolic blood pressure

    Measured: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration

  6. Diastolic blood pressure

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - diastolic blood pressure

    Measured: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration

  7. Heart rate

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - heart rate

    Measured: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration

  8. Respiratory rate

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE: - respiratory rate

    Measured: Before drug administration, on Day 1-7, 11, 15, 22, 29, 42, 57, 71, 85 after drug administration

  9. Electrocardiogram (ECG) assessment of RR Interval

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG RR Interval

    Measured: Before drug administration, on Day 29, 85 after drug administration

  10. Electrocardiogram (ECG) assessment of PQ Interval

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG PQ Interval

    Measured: Before drug administration, on Day 29, 85 after drug administration

  11. Electrocardiogram (ECG) assessment of QRS Interval

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG QRS Interval

    Measured: Before drug administration, on Day 29, 85 after drug administration

  12. Electrocardiogram (ECG) assessment of QT Interval

    A medical examination by an investigator to determine the state of a person's health, identify risk factors for AE and SAE - ECG QT Interval

    Measured: Before drug administration, on Day 29, 85 after drug administration

Timeline

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

  1. First posted23 Oct 2020
  2. Study start18 Apr 2017
  3. Primary completion6 Sep 2017
  4. Study completion6 Sep 2017

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Interventional
Masking
None (open label)
Enrolment
84 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04601389
Sponsor's protocol ID
OMA-HVL-I
Other IDs
№88 eff.data 16 Feb 2017
Acronym
NAP
Status last verified
Oct 2020
First submitted
12 Oct 2020
Last updated
23 Oct 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: NAP

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Omalizumab (JSC "GENERIUM", the Russian Federation) and Xolair® (Novartis Pharma AG, Switzerland) in people with Healthy Volunteers, run by AO GENERIUM at 2 sites in Russia.

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 6 inclusion and 8 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 23 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Russia. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Assessment of the pharmacokinetic parameter - Tmax (time frame: 5-15 minutes before drug administration, in 6, 12, 24, 48, 72, 96, 120, 168, 240, 336, 504, 672, 984, 1344, 1680, 2016 hours after drug administration). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Oct 2020.

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