Osteoporosis, bone & mineral

Proposed Denosumab Biosimilar SB16 vs Reference Denosumab in Postmenopausal Osteoporosis: Phase 3 Results Up to Month 12

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

The reported efficacy, pharmacokinetic, pharmacodynamic, safety, and immunogenicity data support the biosimilarity of SB16 to DEN.

Study context

Population
Women with postmenopausal osteoporosis with lumbar spine or total hip T-score between −2.5 and −4randomized 1:1
Participants
457 women
Comparison
SB16 vs reference denosumab
Primary endpoint
Percent change from baseline in lumbar spine BMD
Follow-up
Up to month 12
Methodological detailsphase 3, double-blind, multicenter, equivalence (biosimilarity), rerandomization at month 12 (continue or switch denosumab (DEN) to SB16)
  • Phase 3
  • Double-blind
  • Multicenter
  • Equivalence (biosimilarity)
  • Rerandomization at month 12 (continue or switch DEN to SB16)

Primary result

As reported in the abstract

% change from baseline in lumbar spine BMD

LS mean difference in % change from baseline in lumbar spine bone mineral density (BMD), full analysis set

0.33%

90% CI −0.25 to 0.91

LS mean difference in % change from baseline in lumbar spine BMD, per-protocol set

0.39%

95% CI −0.36 to 1.13

Secondary outcomes

Secondary endpoints (BMD of lumbar spine at other time points, total hip, femoral neck; PK; PD: serum CTX, P1NP; safety; immunogenicity) · up to month 12

Secondary endpoints comparable between the 2 treatment groups

Original publication

Proposed Denosumab Biosimilar SB16 vs Reference Denosumab in Postmenopausal Osteoporosis: Phase 3 Results Up to Month 12. J Clin Endocrinol Metab. Published 7 September 2024. doi:10.1210/clinem/dgae611

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