CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®

Objective. Evaluation of pharmacokinetics, pharmacodynamics, safety and efficacy of rituximab biosimilar (Acellbia,  BIOCAD, Russia) used as  monotherapy in patients with indolent B-cell non-Hodgkin’s lymphoma in comparison with the parameters of innovator rituximab – MabThera.Materials and methods....

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Main Authors: S. M. Alekseev, K. D. Kaplanov, R. A. Ivanov, E. V. Chernyaeva
Format: Article
Language:Russian
Published: QUASAR, LLC 2015-04-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/30
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author S. M. Alekseev
K. D. Kaplanov
R. A. Ivanov
E. V. Chernyaeva
author_facet S. M. Alekseev
K. D. Kaplanov
R. A. Ivanov
E. V. Chernyaeva
author_sort S. M. Alekseev
collection DOAJ
description Objective. Evaluation of pharmacokinetics, pharmacodynamics, safety and efficacy of rituximab biosimilar (Acellbia,  BIOCAD, Russia) used as  monotherapy in patients with indolent B-cell non-Hodgkin’s lymphoma in comparison with the parameters of innovator rituximab – MabThera.Materials and methods. 92 patients (aged 18 years and older with diagnosed CD20-positive follicular non-Hodgkin’s lymphoma, stage II-IV by Ann Arbor, 1-2 histologic grade, or marginal zone lymphoma) were enrolled into the study. Patients were randomised in 1:1 ratio to receive 375 mg/sq.m of Acellbia or MabThera on days 1, 8, 15 and 22.Results. Overall response rate in both arms was equivalent: 39.52% in BCD-020 arm and 36.57% of patients in RTX arm (p=0.8250). Within the first week after a single infusion of Acellbia or MabThera, the level of  CD19 and CD20-positive cells rapidly decreased to almost undetectable values without any obvious recovery by the end of observation (upon intergroup comparison p>0.05 at all specified time points). 90% CI for the geometric mean of a Acellbia/MabThera  AUC0-t ratio fell within standard bioequivalence range 80-125% (80.1-118.2% for the ratio of AUC0-168 after a single dose). Within the whole study period  the frequency of AEs, including severe AEs (grade 3-4), associated with the use of monotherapy, were equal in both arms without any significant differences. Conclusions. Acellbia is non-inferior to MabThera in terms of efficacy, pharmacokinetics, pharmacodynamics and immunogenicity. Acellbia was well tolerated, with the safety profile comparable with MabThera’s parameters.
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spelling doaj-art-7616405cadf64c2a9ad434b29255cf2b2025-02-03T07:12:18ZrusQUASAR, LLCИсследования и практика в медицине2410-18932015-04-012181210.17709/2409-2231-2015-2-1-8-1214CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®S. M. Alekseev0K. D. Kaplanov1R. A. Ivanov2E. V. Chernyaeva3Research Institute of Oncology named after N.N. Petrov (Saint-Petersburg, Russian Federation) 68, Leningradskaya Str, Pesochniy, St.Petersburg, Russian Federation, 197758State Healthcare Institution Volgograd Regional Clinical Oncology Dispensary (Volgograd, Russian Federation) 78, Zemlyachki, Volgograd, Russian Federation, 400138CJSC BIOCAD (Saint-Petesburg, Russian Federation) Ul. Svyazi 34-A, Strelna, Saint-Petesburg, Russian Federation,198515CJSC BIOCAD (Saint-Petesburg, Russian Federation) Ul. Svyazi 34-A, Strelna, Saint-Petesburg, Russian Federation,198515Objective. Evaluation of pharmacokinetics, pharmacodynamics, safety and efficacy of rituximab biosimilar (Acellbia,  BIOCAD, Russia) used as  monotherapy in patients with indolent B-cell non-Hodgkin’s lymphoma in comparison with the parameters of innovator rituximab – MabThera.Materials and methods. 92 patients (aged 18 years and older with diagnosed CD20-positive follicular non-Hodgkin’s lymphoma, stage II-IV by Ann Arbor, 1-2 histologic grade, or marginal zone lymphoma) were enrolled into the study. Patients were randomised in 1:1 ratio to receive 375 mg/sq.m of Acellbia or MabThera on days 1, 8, 15 and 22.Results. Overall response rate in both arms was equivalent: 39.52% in BCD-020 arm and 36.57% of patients in RTX arm (p=0.8250). Within the first week after a single infusion of Acellbia or MabThera, the level of  CD19 and CD20-positive cells rapidly decreased to almost undetectable values without any obvious recovery by the end of observation (upon intergroup comparison p>0.05 at all specified time points). 90% CI for the geometric mean of a Acellbia/MabThera  AUC0-t ratio fell within standard bioequivalence range 80-125% (80.1-118.2% for the ratio of AUC0-168 after a single dose). Within the whole study period  the frequency of AEs, including severe AEs (grade 3-4), associated with the use of monotherapy, were equal in both arms without any significant differences. Conclusions. Acellbia is non-inferior to MabThera in terms of efficacy, pharmacokinetics, pharmacodynamics and immunogenicity. Acellbia was well tolerated, with the safety profile comparable with MabThera’s parameters.https://www.rpmj.ru/rpmj/article/view/30rituximabbiosimilaracellbia®non-hodgkin’ lymphomab-cell depletion
spellingShingle S. M. Alekseev
K. D. Kaplanov
R. A. Ivanov
E. V. Chernyaeva
CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
Исследования и практика в медицине
rituximab
biosimilar
acellbia®
non-hodgkin’ lymphoma
b-cell depletion
title CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
title_full CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
title_fullStr CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
title_full_unstemmed CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
title_short CURRENT APPROACH TO DEVELOPMENT OF BIOSIMILAR PRODUCTS CONTAINING MONOCLONAL ANTIBODIES AS AN ACTIVE SUBSTANCE – NON-CLINICAL AND CLINICAL STUDIES OF THE FIRST RUSSIAN RITUXIMAB BIOSIMILAR, ACELLBIA®
title_sort current approach to development of biosimilar products containing monoclonal antibodies as an active substance non clinical and clinical studies of the first russian rituximab biosimilar acellbia r
topic rituximab
biosimilar
acellbia®
non-hodgkin’ lymphoma
b-cell depletion
url https://www.rpmj.ru/rpmj/article/view/30
work_keys_str_mv AT smalekseev currentapproachtodevelopmentofbiosimilarproductscontainingmonoclonalantibodiesasanactivesubstancenonclinicalandclinicalstudiesofthefirstrussianrituximabbiosimilaracellbia
AT kdkaplanov currentapproachtodevelopmentofbiosimilarproductscontainingmonoclonalantibodiesasanactivesubstancenonclinicalandclinicalstudiesofthefirstrussianrituximabbiosimilaracellbia
AT raivanov currentapproachtodevelopmentofbiosimilarproductscontainingmonoclonalantibodiesasanactivesubstancenonclinicalandclinicalstudiesofthefirstrussianrituximabbiosimilaracellbia
AT evchernyaeva currentapproachtodevelopmentofbiosimilarproductscontainingmonoclonalantibodiesasanactivesubstancenonclinicalandclinicalstudiesofthefirstrussianrituximabbiosimilaracellbia