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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03983876
Registration number
NCT03983876
Ethics application status
Date submitted
10/06/2019
Date registered
12/06/2019
Titles & IDs
Public title
PK, Safety and Tolerability Study of AVT02 (Adalimumab) Pre-filled Syringe (PFS) vs, AVT02 Autoinjector (AI)
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Scientific title
Multi-center, Randomized, Open-Label, 2-Arm Parallel Study to Compare the Pharmacokinetics, Safety and Tolerability of AVT02 Administered Subcutaneously Via Prefilled Syringe or Autoinjector in Healthy Adult Volunteers (ALVOPAD PEN)
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Secondary ID [1]
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AVT02-GL-102
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Phase 1
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Adalimumab
Experimental: AVT02 100mg/mL in PFS - Prefilled Syringe Arm
Experimental: AVT02 100mg/mL in Autoinjector - Autoinjector Arm
Treatment: Drugs: Adalimumab
AVT02, a proposed similar biological product (biosimilar) of Humira which contains adalimumab . Adalimumab is a recombinant, fully human monoclonal immunoglobulin G1 (IgG1) antibody that binds specifically and with high affinity to the soluble and transmembrane forms of tumor necrosis factor (TNF)-a thereby inhibiting the binding of TNF-a with its receptor, and inhibiting TNF -a's biological function.
Tumor necrosis factor-a is a naturally occurring cytokine that is key to normal inflammatory and immune responses. Elevated levels of TNF-a are found in the synovial fluid of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis patients and psoriasis plaques and play an important role in both the pathologic inflammation and joint destruction that are hallmarks of these inflammatory disease
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Area under the plasma concentration-time curve AUC0-t
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Assessment method [1]
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Venous blood samples will be collected for measurement of Area under the plasma concentration-time curve (AUC 0-t) of AVT02 given in PFS and AVT02 given in autoinjector
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Timepoint [1]
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From baseline to day 64
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Primary outcome [2]
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Area under the plasma concentration-time curve AUC0-inf
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Assessment method [2]
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Venous blood samples will be collected for measurement of Area under the plasma concentration-time curve (AUC 0-t) of AVT02 given in PFS and AVT02 given in autoinjector
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Timepoint [2]
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From baseline to day 64
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Primary outcome [3]
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Maximum serum concentration
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Assessment method [3]
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Venous blood samples will be collected for measurement of Area under the plasma concentration-time curve (AUC 0-t) of AVT02 given in PFS and AVT02 given in autoinjector
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Timepoint [3]
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From baseline to day 64
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Secondary outcome [1]
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Pain, Tenderness, Erythema and Swelling
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Assessment method [1]
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The injection sites will be monitored for pain, tenderness, erythema and swelling. Each injection site reaction will be categorised using the Injection Site Intensity Grading Scheme. All four outcome measures mentioned in the title will be measured from this one scheme. According to the Intensity Grading Scheme, the Pain, Tenderness, Erythema and Swelling will be measured as Absent (0), Mild (1), Moderate Severe(3) and Potentially Life Threatening.
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Timepoint [1]
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From baseline to day 64
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Secondary outcome [2]
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Anti Drug Antibodies (ADRs)
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Assessment method [2]
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Immunogenicity response will be determined from all patients treated with AVT02 from baseline to day 64 with a validated assay. Immunogenicity results (number of positive tested subjects/number of negative tested subjects; titer) will be summarized by treatment group (prefilled syringe group vs. autoinjector group). Immunogenicity assessments include antidrug antibodies (ADAs) and neutralizing antibodies (NAbs).
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Timepoint [2]
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From baseline to day 64
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Secondary outcome [3]
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Adverse Events
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Assessment method [3]
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Adverse events will be coded using MedDRA and grouped by system organ class and preferred term and summarised, by treatment group at the time of onset of the AE. The summary tables will present the number and percentage of total subjects and number of events, by system organ class and by preferred term. Injection related reactions will be listed and summarised by reaction using frequency counts and percentage, by treatment group
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Timepoint [3]
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Baseline to day 84
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Eligibility
Key inclusion criteria
To be eligible for study entry, subjects must satisfy all of the following criteria:
* Male or female healthy adult subjects willing to sign a patient information and consent form (PICF) and able to undergo protocol related procedures;
* Age: 18 to 55 years, inclusive;
* Body Mass Index: 18.5 to 32.0 kg/m2;
* No history or evidence of a clinically significant disorder, condition, or disease that, in the opinion of the investigator would pose a risk to subject safety;
* Resting supine systolic blood pressure (BP) of =150 mmHg and diastolic BP of =90 mmHg. Other vital signs showing no clinically relevant deviations according to the investigator's judgment;
* 12-lead ECG recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the investigator;
* Negative urine drug screen and negative alcohol breath test at screening and admission;
* Subjects smokes <10 cigarettes per day within 3 months of screening and is able to abide by the smoking policy of the site;
* Ability and willingness to abstain from alcohol from 48 hours prior to IP administration, during confinement in the study site until discharge from the confinement period and 24 hours prior to ambulatory visits;
* Females must have a negative pregnancy test at screening and on admission to the study site, must not be lactating and must agree to sexual abstinence or the use effective contraception, starting at screening and continue throughout the study period up to the end of study (EOS) visit;
* Male subjects and their female spouse/partners who are of childbearing potential must agree to using 2 forms of birth control (1 of which is a highly effective method and 1 must be a barrier method), or agree to sexual abstinence, starting at screening and continue throughout the study period up to the EOS visit;
* Male subject must not donate sperm starting at screening and throughout the study period up to the EOS visit;
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
To be eligible for study entry, subjects must satisfy all of the following criteria:
* Male or female healthy adult subjects willing to sign a patient information and consent form (PICF) and able to undergo protocol related procedures;
* Age: 18 to 55 years, inclusive;
* Body Mass Index: 18.5 to 32.0 kg/m2;
* No history or evidence of a clinically significant disorder, condition, or disease that, in the opinion of the investigator would pose a risk to subject safety;
* Resting supine systolic blood pressure (BP) of =150 mmHg and diastolic BP of =90 mmHg. Other vital signs showing no clinically relevant deviations according to the investigator's judgment;
* 12-lead ECG recording without signs of clinically relevant pathology or showing no clinically relevant deviations as judged by the investigator;
* Negative urine drug screen and negative alcohol breath test at screening and admission;
* Subjects smokes <10 cigarettes per day within 3 months of screening and is able to abide by the smoking policy of the site;
* Ability and willingness to abstain from alcohol from 48 hours prior to IP administration, during confinement in the study site until discharge from the confinement period and 24 hours prior to ambulatory visits;
* Females must have a negative pregnancy test at screening and on admission to the study site, must not be lactating and must agree to sexual abstinence or the use effective contraception, starting at screening and continue throughout the study period up to the end of study (EOS) visit;
* Male subjects and their female spouse/partners who are of childbearing potential must agree to using 2 forms of birth control (1 of which is a highly effective method and 1 must be a barrier method), or agree to sexual abstinence, starting at screening and continue throughout the study period up to the EOS visit;
* Male subject must not donate sperm starting at screening and throughout the study period up to the EOS visit;
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
3/12/2019
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Sample size
Target
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Accrual to date
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Final
207
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Chistchurch
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Country [2]
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New Zealand
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State/province [2]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Alvotech Swiss AG
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study has been designed as a multicentre, randomised, open label study of AVT02 in healthy adult subjects. The study will assess the PK, safety and tolerability of AVT02 in Pre-Filled Syringe compared to AVT02 in Autoinjector Pen. Both arms will use single dose of 40mg of AVT02 (Adalimumab)
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Trial website
https://clinicaltrials.gov/study/NCT03983876
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Trial related presentations / publications
Wynne C, Schwabe C, Stroissnig H, Dias R, Sobierska J, Guenzi E, Otto H, Sattar A, Haliduola HN, Edwald E, Berti F. A multicenter, randomized, open-label, 2-arm parallel study to compare the pharmacokinetics, safety and tolerability of AVT02 administered subcutaneously via prefilled syringe or autoinjector in healthy adults. Expert Opin Biol Ther. 2023 Jul-Dec;23(8):773-780. doi: 10.1080/14712598.2022.2131391. Epub 2022 Oct 5.
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03983876