Establishing clinical equivalence

PHASE l CLlNlCAL STUDY

STUDY DESIGN

N=159

Phase I, randomized, single-blind, three-arm, parallel group PK study comparing single IV dose (5 mg/kg bw) Flixabi™ with EU- and US-sourced reference infliximab in healthy volunteers.

Baseline to Week 10

Primary PK parameters were AUCinf, AUClast, and Cmax. Safety and immunogenicity.

Adapted from: Shin D, et al. 2015.

 

Abbreviations: AUC, area under the concentration-time curve; AUCinf, AUC from time zero to infinity; AUClast, AUC from time zero to the last quantifiable concentration; Cmax, maximum concentration; IV, intravenous; PK, pharmacokinetic, IFX, reference infliximab.

Comparable pharmacokinetic profile between Flixabi™ and reference infliximab1

  • Similar mean serum concentration time profiles1
  • All primary PK parameters within pre-defined equivalence margin1,a
  • Comparable incidences of ADAs between treatment arms1
  • Comparable frequencies of treatment-emergent adverse events1

Confidence intervals of the test-to-reference ratios are well contained within the
pre-defined equivalence margin.

 

Adapted from:Shin D, et al. 2015.1


Abbreviations: ADA, anti-drug antibodies; ANOVA, analysis of variance; CI, confidence interval; LSMean,
least squares mean; PK, pharmacokinetic, IFX, reference infliximab.


a Bioequivalence by ANOVA if the 90% CIs for the ratio of geometric LSMeans of the treatments
compared were completely contained within the pre-defined equivalence margin, 0.8–1.25.