Osteoporosis, bone & mineral

A randomised Phase 3 study comparing the efficacy and safety of proposed denosumab biosimilar RGB-14-P and reference denosumab in women with postmenopausal osteoporosis

Osteoporos IntPublished Randomised controlled trial

Primary result · Lumbar spine BMD, adjusted mean %CfBResult — go to the resultEstimated difference 0.34 95% CI - 0.40, 1.09

Authors' conclusion

In women with postmenopausal osteoporosis, RGB-14-P demonstrated equivalent efficacy and pharmacodynamics, and similar immunogenicity and safety to denosumab.

Study context

Population
Women with postmenopausal osteoporosisrandomised and received study drug
Participants
473 women
Comparison
Proposed denosumab biosimilar RGB-14-P vs reference denosumab, 60 mg SC every 6 months
  • RGB-14-Pn = 242
  • Denosumabn = 231reference
Primary endpoint
Co-primary: %CfB in lumbar spine BMD at Week 52 and AUEC of %CfB serum CTX to Week 26
Follow-up
Up to Week 52
Methodological detailsmulticentre, double-blind, Phase 3, equivalence
  • Multicentre
  • Double-blind
  • Phase 3
  • Equivalence

Primary result

Lumbar spine BMD, adjusted mean %CfB

Estimated difference

0.34

95% CI - 0.40, 1.09

By group

As reported in the abstract

Secondary outcomes

Co-primary: Area under the effective curve (AUEC) of %CfB in serum CTX · to Week 26

Geometric mean ratio in AUEC of %CfB in CTX concentration
1.01 (95% CI, 0.98, 1.05; P = 0.494)
Both primary endpoints demonstrated equivalence of RGB-14-P and denosumab

%CfB in total hip and femoral neck bone mineral density (BMD)

No statistical differences

Vertebral or non-vertebral fragility fractures

Incidence comparable between treatments

Anti-drug antibody incidence

< 1% in both arms

Safety

OutcomeRGB-14-PDenosumab
Anti-drug antibody incidence< 1%< 1%

Safety

Comparable between groups

Original publication

A randomised Phase 3 study comparing the efficacy and safety of proposed denosumab biosimilar RGB-14-P and reference denosumab in women with postmenopausal osteoporosis. Osteoporos Int. Published 14 October 2025. doi:10.1007/s00198-025-07711-x

Composed by AI from the published abstract and checked against it. How Briefs are made →

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