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
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.
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.
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.
Participants must have adequate organ function according to the following laboratory values:
Exclusion Criteria:
Proposed biosimilar of bevacizumab,Intravenous administration
Biological: TRS003
Intravenous administration
Biological: China-approved Bevacizumab
Intravenous administration
Biological: US-licensed Avastin
25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes
25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes
25mg/mL (4 mL/vial) Injection,Single dose of 3mg/kg Intravenous infusion for 90 minutes
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
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
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
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)
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
| Milestone | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| Started | 38 | 38 | 38 |
| Completed | 34 | 38 | 38 |
| Not completed | 4 | 0 | 0 |
| Withdrew: Lost to follow-up | 3 | 0 | 0 |
| Withdrew: Schedule conflict | 1 | 0 | 0 |
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.
| hr*ng/mL | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| AUC0-inf,Area Under the Serum Concentration Versus Time Curve,Time 0 to Infinity | 30308695.01 ± 4780171.58 | 28449241.04 ± 5232124.54 | 29050169.73 ± 4476342.82 |
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.
| ng/mL | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| Cmax, Maximum Drug Concentration | 86051.02 ± 14888.99 | 84748.14 ± 12592.56 | 82509.03 ± 13197.95 |
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.
| hr*ng/mL | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| AUC0-last, Area Under the Serum Concentration-time Curve,Time 0 to Last | 29146948.37 ± 4383124.30 | 27446018.92 ± 4716128.56 | 27951588.98 ± 4089884.99 |
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.
| Participants | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| 0 hour — Negative | 37 | 37 | 38 |
| 0 hour — Positive | 1 | 1 | 0 |
| 336 hour — Negative | 36 | 37 | 37 |
| 336 hour — Positive | 0 | 0 | 0 |
| 672 hour — Negative | 35 | 37 | 37 |
| 672 hour — Positive | 0 | 0 | 0 |
| 1344 hour — Negative | 33 | 34 | 38 |
| 1344 hour — Positive | 0 | 2 | 0 |
| 2016 hour — Negative | 35 | 35 | 38 |
| 2016 hour — Positive | 0 | 3 | 0 |
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.
| Participants | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| Number of Participants With Adverse Events (AEs) | 6 | 12 | 11 |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| TRS003 | 0/38 (0%) | 0/38 (0%) | 6/38 (15.8%) |
| China-approved Bevacizumab | 0/38 (0%) | 0/38 (0%) | 12/38 (31.6%) |
| US-licensed Avastin | 0/38 (0%) | 0/38 (0%) | 11/38 (28.9%) |
| Event | TRS003 | China-approved Bevacizumab | US-licensed Avastin |
|---|---|---|---|
| PharyngitisInfections and infestations | 0/38 | 4/38 | 0/38 |
| HeadacheNervous system disorders | 1/38 | 2/38 | 3/38 |
| Alanine Aminotransferase IncreasedInvestigations | 0/38 | 0/38 | 2/38 |
| Aspartate Aminotransferase IncreasedInvestigations | 0/38 | 0/38 | 2/38 |
| HypoaesthesiaNervous system disorders | 0/38 | 1/38 | 1/38 |
| DizzinessNervous system disorders | 0/38 | 1/38 | 0/38 |
| SomnolenceNervous system disorders | 0/38 | 1/38 | 0/38 |
| SyncopeNervous system disorders | 0/38 | 0/38 | 1/38 |
| GingivitisInfections and infestations | 0/38 | 1/38 | 0/38 |
| RhinitisInfections and infestations | 1/38 | 0/38 | 0/38 |
| Age, Customized(Participants) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Safety Population — <18 | 0 | 0 | 0 | 0 |
| Safety Population — 18-40 | 26 | 30 | 25 | 81 |
| Safety Population — >40 | 12 | 8 | 13 | 33 |
| Pharmacokinetic Population — <18 | 0 | 0 | 0 | 0 |
| Pharmacokinetic Population — 18-40 | 26 | 30 | 25 | 81 |
| Pharmacokinetic Population — >40 | 12 | 8 | 13 | 33 |
| Sex: Female, Male(Participants) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 |
| Male | 38 | 38 | 38 | 114 |
| Ethnicity (NIH/OMB)(Participants) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Hispanic or Latino | 27 | 27 | 25 | 79 |
| Not Hispanic or Latino | 11 | 11 | 13 | 35 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Race — White | 15 | 22 | 25 | 62 |
| Race — Black | 18 | 8 | 9 | 35 |
| Race — Asian | 4 | 6 | 4 | 14 |
| Race — Am Indian | 1 | 0 | 0 | 1 |
| Race — Hawaiian | 0 | 0 | 0 | 0 |
| Race — Multi-racial | 0 | 0 | 0 | 0 |
| Race — Other | 0 | 2 | 0 | 2 |
| Height(cm) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Mean | 175.37 (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(kg) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Mean | 80.16 (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(kg/m^2) | TRS003 | China-approved Bevacizumab | US-licensed Avastin | Total |
|---|---|---|---|---|
| Mean | 26.09 (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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Zhejiang Teruisi Pharmaceutical Inc.