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CompletedNCT03882424Updated Jun 16, 2020Results posted

A Study to Compare Pharmacokinetic and Safety of TRS003 to China-approved Bevacizumab and US-licensed Avastin®

A Phase 1 interventional study of TRS003 and China-approved Bevacizumab in Healthy, sponsored by Zhejiang Teruisi Pharmaceutical Inc.. Completed at 1 site in United States. Open to male participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-06-16.

Sponsored by Zhejiang Teruisi Pharmaceutical Inc. · Phase 1, Interventional, and Other

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jun 2018, registered Mar 2019).
Phase
Phase 1
Study type
Interventional
Enrollment
114
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

This is a 12-week, randomized, double-blind, single-dose pharmacokinetic (PK) study. Approximately 114 healthy male participants (screening occurred within 28 days prior to dosing) will be randomized 1:1:1 to either TRS003, China-approved bevacizumab, and US-licensed Avastin® groups. Study drug will be dispensed as a single 3 mg/kg dose for intravenous infusion within 90 minutes. PK and immunogenicity samples will be collected and safety will be assessed. The primary objective of this study was to demonstrate pharmacokinetic similarity between TRS003, China-approved bevacizumab and US-licensed Avastin®, as measured by AUC0-inf in healthy male participants after a single 3 mg/kg dose.

Read the detailed description

The primary assessment of PK similarity will be based upon a 90 percentage confidence interval (CI) for the ratio of the geometric means (TRS003, China-approved bevacizumab and US-licensed Avastin®) for AUC0-inf on PK analysis set. If the 90 percentage CI of the ratio of the geometric means for AUC0-inf is within the range of 80-125 percentage, then PK similarity will be concluded. Secondary PK parameters such as but not limited to Cmax, AUClast will be analyzed using the same statistical approach. A nonparametric approach, for example, Wilcoxon signed-rank test, will be taken to evaluate parameters such as t1/2. Exploratory analyses may be performed for other PK parameters as deemed appropriate. All adverse events (AEs) will be listed and summarized using descriptive methodology. The incidence of AEs for each treatment will be presented by severity and association with the study drugs. Clinical laboratory parameters, vital signs, and electrocardiogram (ECG) parameters will be listed and summarized using descriptive statistics. The number and percentage of participants testing positive for anti-drug antibodies (ADAs) will be summarized by treatment and time point.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Zhejiang Teruisi Pharmaceutical Inc. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Healthy, male participants, 18-55 years old with no significant medical history, and in good health as determined by detailed medical history, full physical examination, vital signs, 12-lead electrocardiogram (ECG), urinalysis and laboratory tests at screening.
  • Body mass index of 17.5-30.5 kg/m\^2 and body weight of 50-95 kg.
  • Protocol-specified hematology, coagulation, blood chemistry and urinalysis within the laboratory normal range at screening, unless deemed not clinically significant by the Investigator.
  • Participants must have adequate organ function according to the following laboratory values:

    1. Bone marrow function (absolute neutrophil count ≥1500/mm\^3 and platelet count ≥100,000/mm\^3)
    2. Adequate liver function [alanine aminotransferase (ALT) ≤3 × upper limit normal (ULN) and alkaline phosphatase ≤2 × ULN, total bilirubin ≤1.5 mg/dL]
    3. Adequate renal function creatinine clearance ≥60 mL/min based on Cockcroft-Gault equation
  • Participants must agree to use an acceptable form of birth control throughout the study and for at least 18 weeks after the study is over.

Exclusion criteria

Exclusion Criteria:

  • Participants unable to give voluntary informed consent.
  • Evidence or history of clinically significant disease, cancer other than adequately treated basal cell or squamous cell carcinoma of the skin.
  • Participants on anticoagulant drugs, anemic or with known bleeding diatheses.
  • Participants with a history of severe, uncontrolled hypertension, heart disease, cerebrovascular incidents, gastrointestinal bleeding, hemoptysis, frequent epistaxis or gingival bleeding.
  • History clinically significant orthostatic hypotension, fainting spells, vasovagal syncope.
  • Uncontrolled severe hypertension (140/90 mm Hg).
  • Previous treatment with an anti-VEGF antibody or any other antibody or protein targeting the VEGF receptor.
  • Use of any prescription, investigational drugs, herbal supplements or nonprescription drugs within 1 month or 5 half-lives (whichever is longer) prior to the first dose, or dietary supplements within 1 week prior to the first dose. If needed, paracetamol/acetaminophen may be used, but must be documented in the Concomitant medications/Significant non-drug therapies page of the case report form (CRF).
  • Serious unhealed wound, cutaneous ulcer or bone fracture at the time of screening.
  • Major surgery or major dental procedure or significant traumatic injury within 2 months prior to screening, or any planned surgery or procedure within 3 months after investigational treatment administration. Participants must have recovered from all acute surgery- or trauma-related complications.
  • Participant's medical and family history of recent or recurrent thromboembolism or other clotting and coagulation disorders.
  • Donated blood over 400 mL within 3 months.
  • History of relevant and clinically significant intra-abdominal inflammation, gastrointestinal perforation or gall bladder perforation.
  • History of severe allergic or anaphylactic reaction to a therapeutic drug or severe seasonal allergies.
  • Recent (within the last three [3] years) and/or recurrent history of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated).
  • A positive hepatitis B, hepatitis C or HIV tests at screening indicative of a current or past infection.
  • Current use of tobacco or nicotine-containing products. Concomitant treatment was given only if Investigator believes strictly necessary and should be documented.
  • Current use of any biologic drugs.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
114 participants (actual)

Study arms

  • Experimental
    TRS003

    Proposed biosimilar of bevacizumab,Intravenous administration

    Biological: TRS003

  • Active comparator
    China-approved Bevacizumab

    Intravenous administration

    Biological: China-approved Bevacizumab

  • Active comparator
    US-licensed Avastin

    Intravenous administration

    Biological: US-licensed Avastin

Interventions

  • BiologicalTRS003

    25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes

  • BiologicalChina-approved Bevacizumab

    25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes

  • BiologicalUS-licensed Avastin

    25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes

06

What researchers measure

Primary outcomes

  1. AUC0-inf,Area Under the Serum Concentration Versus Time Curve,Time 0 to Infinity

    The primary assessment of PK similarity will be based upon a 90 percentage CI for the ratio of the geometric means (TRS003, China-approved bevacizumab and US-licensed Avastin®) for AUC0-inf on PK analysis set. If the 90 percentage CI of the ratio of the geometric means for AUC0-inf is within the range of 80-125 percentage, then PK similarity will be concluded.

    Time frame: Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI

Secondary outcomes

  1. Cmax, Maximum Drug Concentration

    To assess other PK parameters such as Cmax, following a single dose of TRS003, China-approved bevacizumab and US-licensed Avastin® in healthy male participants. If the 90 percentage CI of the ratio of the geometric means for Cmax is within the range of 80-125 percentage, then PK similarity will be concluded.

    Time frame: Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI

  2. AUC0-last, Area Under the Serum Concentration-time Curve,Time 0 to Last

    To assess other PK parameters such as AUClast, following a single dose of TRS003, China-approved bevacizumab and US-licensed Avastin® in healthy male participants. If the 90 percentage CI of the ratio of the geometric means for AUC0-last is within the range of 80-125 percentage, then PK similarity will be concluded.

    Time frame: Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI

  3. Number of Participants Who Develop Detectable Anti-drug Antibody (ADA)

    To determine the number of participants with immunogenicity against TRS003, China-approved bevacizumab, and US-licensed Avastin® in healthy male participants, blood samples will be collected for ADA analyses.

    Time frame: Pre-dose, 336 hours, 672 hours, 1344 hours and 2016 hours after EOI (End of infusion)

  4. Number of Participants With Adverse Events (AEs)

    Adverse events will be classified using the MedDRA classification system. The severity of the toxicities will be graded according to the NCI CTCAE version 4.03.

    Time frame: Within 85 days following the drug administration

07

Results

Posted Jun 16, 2020

Participant flow

Participant flow — Overall Study
MilestoneTRS003China-approved BevacizumabUS-licensed Avastin
Started383838
Completed343838
Not completed400
Withdrew: Lost to follow-up300
Withdrew: Schedule conflict100

Outcome measures

PrimaryAUC0-inf,Area Under the Serum Concentration Versus Time Curve,Time 0 to Infinity

The primary assessment of PK similarity will be based upon a 90 percentage CI for the ratio of the geometric means (TRS003, China-approved bevacizumab and US-licensed Avastin®) for AUC0-inf on PK analysis set. If the 90 percentage CI of the ratio of the geometric means for AUC0-inf is within the range of 80-125 percentage, then PK similarity will be concluded.

Time frame:
Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI
Reported as:
Geometric least squares mean · hr*ng/mL
AUC0-inf,Area Under the Serum Concentration Versus Time Curve,Time 0 to Infinity
hr*ng/mLTRS003China-approved BevacizumabUS-licensed Avastin
AUC0-inf,Area Under the Serum Concentration Versus Time Curve,Time 0 to Infinity30308695.01 ± 4780171.5828449241.04 ± 5232124.5429050169.73 ± 4476342.82
SecondaryCmax, Maximum Drug Concentration

To assess other PK parameters such as Cmax, following a single dose of TRS003, China-approved bevacizumab and US-licensed Avastin® in healthy male participants. If the 90 percentage CI of the ratio of the geometric means for Cmax is within the range of 80-125 percentage, then PK similarity will be concluded.

Time frame:
Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI
Reported as:
Geometric least squares mean · ng/mL
Cmax, Maximum Drug Concentration
ng/mLTRS003China-approved BevacizumabUS-licensed Avastin
Cmax, Maximum Drug Concentration86051.02 ± 14888.9984748.14 ± 12592.5682509.03 ± 13197.95
SecondaryAUC0-last, Area Under the Serum Concentration-time Curve,Time 0 to Last

To assess other PK parameters such as AUClast, following a single dose of TRS003, China-approved bevacizumab and US-licensed Avastin® in healthy male participants. If the 90 percentage CI of the ratio of the geometric means for AUC0-last is within the range of 80-125 percentage, then PK similarity will be concluded.

Time frame:
Pre-dose, 0 hour (End of infusion, EOI), 0.5 hour, 4 hours, 8 hours, 24 hours, 48 hours, 96 hours, 168 hours, 336 hours, 672 hours, 1008 hours, 1344 hours, 1680 hours, and 2016 hours post EOI
Reported as:
Geometric least squares mean · hr*ng/mL
AUC0-last, Area Under the Serum Concentration-time Curve,Time 0 to Last
hr*ng/mLTRS003China-approved BevacizumabUS-licensed Avastin
AUC0-last, Area Under the Serum Concentration-time Curve,Time 0 to Last29146948.37 ± 4383124.3027446018.92 ± 4716128.5627951588.98 ± 4089884.99
SecondaryNumber of Participants Who Develop Detectable Anti-drug Antibody (ADA)

To determine the number of participants with immunogenicity against TRS003, China-approved bevacizumab, and US-licensed Avastin® in healthy male participants, blood samples will be collected for ADA analyses.

Time frame:
Pre-dose, 336 hours, 672 hours, 1344 hours and 2016 hours after EOI (End of infusion)
Reported as:
Count of participants · Participants
Number of Participants Who Develop Detectable Anti-drug Antibody (ADA)
ParticipantsTRS003China-approved BevacizumabUS-licensed Avastin
0 hour — Negative373738
0 hour — Positive110
336 hour — Negative363737
336 hour — Positive000
672 hour — Negative353737
672 hour — Positive000
1344 hour — Negative333438
1344 hour — Positive020
2016 hour — Negative353538
2016 hour — Positive030
SecondaryNumber of Participants With Adverse Events (AEs)

Adverse events will be classified using the MedDRA classification system. The severity of the toxicities will be graded according to the NCI CTCAE version 4.03.

Time frame:
Within 85 days following the drug administration
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs)
ParticipantsTRS003China-approved BevacizumabUS-licensed Avastin
Number of Participants With Adverse Events (AEs)61211

Adverse events

Collected over Throughout the study, subjects were monitored for AEs. All AEs, including those reported within 85 days following the last dose of drug administration, were recorded. AEs were followed-up until complete resolution, or until the Medical Sub-Investigator judged safe to discontinue follow-up. Any subjects who were withdrawn from the study due to an AE were followed until the outcome of the AE was determined.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TRS0030/38 (0%)0/38 (0%)6/38 (15.8%)
China-approved Bevacizumab0/38 (0%)0/38 (0%)12/38 (31.6%)
US-licensed Avastin0/38 (0%)0/38 (0%)11/38 (28.9%)
Most frequent other events
Showing 10 of 24
Most frequent other events
EventTRS003China-approved BevacizumabUS-licensed Avastin
PharyngitisInfections and infestations0/384/380/38
HeadacheNervous system disorders1/382/383/38
Alanine Aminotransferase IncreasedInvestigations0/380/382/38
Aspartate Aminotransferase IncreasedInvestigations0/380/382/38
HypoaesthesiaNervous system disorders0/381/381/38
DizzinessNervous system disorders0/381/380/38
SomnolenceNervous system disorders0/381/380/38
SyncopeNervous system disorders0/380/381/38
GingivitisInfections and infestations0/381/380/38
RhinitisInfections and infestations1/380/380/38

Baseline characteristics

Age, Customized
Age, Customized(Participants)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Safety Population — <180000
Safety Population — 18-4026302581
Safety Population — >401281333
Pharmacokinetic Population — <180000
Pharmacokinetic Population — 18-4026302581
Pharmacokinetic Population — >401281333
Sex: Female, Male
Sex: Female, Male(Participants)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Female0000
Male383838114
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Hispanic or Latino27272579
Not Hispanic or Latino11111335
Unknown or Not Reported0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Race — White15222562
Race — Black188935
Race — Asian46414
Race — Am Indian1001
Race — Hawaiian0000
Race — Multi-racial0000
Race — Other0202
Height
Height(cm)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Mean175.37 (163.0 to 188.2)173.09 (161.3 to 181.5)174.62 (155.4 to 184.6)174.36 (155.4 to 188.2)
Weight
Weight(kg)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Mean80.16 (62.6 to 92.8)78.55 (57.1 to 94.5)78.82 (59.7 to 94.7)79.18 (57.1 to 94.7)
BMI
BMI(kg/m^2)TRS003China-approved BevacizumabUS-licensed AvastinTotal
Mean26.09 (20.6 to 30.4)26.21 (20.4 to 30.5)25.84 (20.0 to 30.5)26.05 (20.0 to 30.5)
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Study locations

1 site
  • WCCT Global, Inc.
    Cypress, California 90630, United States
09

References and documents

Study documents

  • Study protocol · May 12, 2018
  • Statistical analysis plan · Sep 19, 2018

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03882424
Lead sponsor
Zhejiang Teruisi Pharmaceutical Inc.
Responsible party
Sponsor
First posted
Mar 20, 2019
Start date
Jun 12, 2018
Primary completion
Sep 30, 2018
Completion
Oct 25, 2018
Results posted
Jun 16, 2020
Last update
Jun 16, 2020

Study contacts

Smith Robina, MD
principal investigator · WCCT Global, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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