Efficacy and safety of a new ranibizumab biosimilar CKD-701 using a pro re nata treatment regimen in neovascular age-related macular degeneration: A phase 3 randomized clinical trial
This study aimed to establish the efficacy, safety, and immunogenicity equivalence of the proposed biosimilar CKD-701 with the reference ranibizumab in patients with treatment-naïve neovascular age-related macular degeneration (nAMD). A total of 312 participants with active subfoveal choroidal neova...
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description | This study aimed to establish the efficacy, safety, and immunogenicity equivalence of the proposed biosimilar CKD-701 with the reference ranibizumab in patients with treatment-naïve neovascular age-related macular degeneration (nAMD). A total of 312 participants with active subfoveal choroidal neovascularization were randomly assigned to either the CKD-701 (n = 156) or reference ranibizumab (n = 156) arms. The initial 3-month loading intraocular injections were followed by pro re nata (PRN) dosing for 9 months. The primary outcome was the proportion of patients with less than 15-letters of corrected visual acuity (BCVA) loss at 3 months visit (one month after last loading injection) compared to the baseline time point. The presence of retinal fluid, and changes in BCVA and central retinal thickness (CRT) were assessed as secondary efficacy outcomes. Immunogenicity and safety were evaluated in both treatment arms. In the CKD-701 arm, 143 (97.95%) patients lost |
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A total of 312 participants with active subfoveal choroidal neovascularization were randomly assigned to either the CKD-701 (n = 156) or reference ranibizumab (n = 156) arms. The initial 3-month loading intraocular injections were followed by pro re nata (PRN) dosing for 9 months. The primary outcome was the proportion of patients with less than 15-letters of corrected visual acuity (BCVA) loss at 3 months visit (one month after last loading injection) compared to the baseline time point. The presence of retinal fluid, and changes in BCVA and central retinal thickness (CRT) were assessed as secondary efficacy outcomes. Immunogenicity and safety were evaluated in both treatment arms. In the CKD-701 arm, 143 (97.95%) patients lost <15 letters in the BCVA at 3 months compared to 143 (98.62%) in the reference arm (P = 0.67). The BCVA improved with a mean improvement of +7.0 (CKD-701) and +6.2 (ranibizumab) letters at 3 months (P = 0.43). The least-squares mean (SE) changes in CRT at 3 months from the baseline were -119.3 (12.0) [mu]m and -124.5 (11.9) [mu]m in the CKD-701 and ranibizumab groups, respectively (P = 0.74). The proportion of participants with subretinal or intraretinal fluid at 3, 6, and 12 months was similar between the study arms. The number (SE) of injections were 8.36 (3.13) in the CKD-701 and 8.26 (2.92) in ranibizumab (P = 0.62). The occurrence of adverse events and antidrug antibody in the study arms were also not statistically different. CKD-701 is a biosimilar to the reference ranibizumab in terms of efficacy, safety, and immunogenicity for the treatment of patients with nAMD. Moreover, improvement and maintenance of visual outcome were achieved through PRN regimen.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0275611</identifier><identifier>PMID: 36374913</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Acuity ; Age ; Age related diseases ; Antibodies ; Biological products ; Biology and Life Sciences ; Biosimilar pharmaceuticals ; Clinical trials ; Confidence intervals ; Diabetes ; Diabetic retinopathy ; Drug therapy ; Effectiveness ; Eye diseases ; Immunogenicity ; Macular degeneration ; Medicine and Health Sciences ; Monoclonal antibodies ; Patient outcomes ; Patients ; Research and Analysis Methods ; Retina ; Safety ; Social Sciences ; Testing ; Vascular endothelial growth factor ; Vascularization ; Visual acuity</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0275611-e0275611</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Yoon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Yoon et al 2022 Yoon et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5546-666523ed8fafa5c41f76d9af6435b013ce26c4d655b0136b37556bded5f632493</citedby><cites>FETCH-LOGICAL-c5546-666523ed8fafa5c41f76d9af6435b013ce26c4d655b0136b37556bded5f632493</cites><orcidid>0000-0002-1795-202X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662729/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9662729/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids></links><search><creatorcontrib>Yoon, Chang Ki</creatorcontrib><creatorcontrib>Oh, Jaeryung</creatorcontrib><creatorcontrib>Bae, Kunho</creatorcontrib><creatorcontrib>Park, Un Chul</creatorcontrib><creatorcontrib>Yu, Kyung-Sang</creatorcontrib><creatorcontrib>Yu, Hyeong Gon</creatorcontrib><title>Efficacy and safety of a new ranibizumab biosimilar CKD-701 using a pro re nata treatment regimen in neovascular age-related macular degeneration: A phase 3 randomized clinical trial</title><title>PloS one</title><description>This study aimed to establish the efficacy, safety, and immunogenicity equivalence of the proposed biosimilar CKD-701 with the reference ranibizumab in patients with treatment-naïve neovascular age-related macular degeneration (nAMD). A total of 312 participants with active subfoveal choroidal neovascularization were randomly assigned to either the CKD-701 (n = 156) or reference ranibizumab (n = 156) arms. The initial 3-month loading intraocular injections were followed by pro re nata (PRN) dosing for 9 months. The primary outcome was the proportion of patients with less than 15-letters of corrected visual acuity (BCVA) loss at 3 months visit (one month after last loading injection) compared to the baseline time point. The presence of retinal fluid, and changes in BCVA and central retinal thickness (CRT) were assessed as secondary efficacy outcomes. Immunogenicity and safety were evaluated in both treatment arms. In the CKD-701 arm, 143 (97.95%) patients lost <15 letters in the BCVA at 3 months compared to 143 (98.62%) in the reference arm (P = 0.67). The BCVA improved with a mean improvement of +7.0 (CKD-701) and +6.2 (ranibizumab) letters at 3 months (P = 0.43). The least-squares mean (SE) changes in CRT at 3 months from the baseline were -119.3 (12.0) [mu]m and -124.5 (11.9) [mu]m in the CKD-701 and ranibizumab groups, respectively (P = 0.74). The proportion of participants with subretinal or intraretinal fluid at 3, 6, and 12 months was similar between the study arms. The number (SE) of injections were 8.36 (3.13) in the CKD-701 and 8.26 (2.92) in ranibizumab (P = 0.62). The occurrence of adverse events and antidrug antibody in the study arms were also not statistically different. CKD-701 is a biosimilar to the reference ranibizumab in terms of efficacy, safety, and immunogenicity for the treatment of patients with nAMD. Moreover, improvement and maintenance of visual outcome were achieved through PRN regimen.</description><subject>Acuity</subject><subject>Age</subject><subject>Age related diseases</subject><subject>Antibodies</subject><subject>Biological products</subject><subject>Biology and Life Sciences</subject><subject>Biosimilar pharmaceuticals</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Diabetes</subject><subject>Diabetic retinopathy</subject><subject>Drug therapy</subject><subject>Effectiveness</subject><subject>Eye diseases</subject><subject>Immunogenicity</subject><subject>Macular degeneration</subject><subject>Medicine and Health Sciences</subject><subject>Monoclonal antibodies</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Research and Analysis Methods</subject><subject>Retina</subject><subject>Safety</subject><subject>Social Sciences</subject><subject>Testing</subject><subject>Vascular endothelial growth 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and safety of a new ranibizumab biosimilar CKD-701 using a pro re nata treatment regimen in neovascular age-related macular degeneration: A phase 3 randomized clinical trial</title><author>Yoon, Chang Ki ; Oh, Jaeryung ; Bae, Kunho ; Park, Un Chul ; Yu, Kyung-Sang ; Yu, Hyeong Gon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5546-666523ed8fafa5c41f76d9af6435b013ce26c4d655b0136b37556bded5f632493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acuity</topic><topic>Age</topic><topic>Age related diseases</topic><topic>Antibodies</topic><topic>Biological products</topic><topic>Biology and Life Sciences</topic><topic>Biosimilar pharmaceuticals</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Diabetes</topic><topic>Diabetic retinopathy</topic><topic>Drug therapy</topic><topic>Effectiveness</topic><topic>Eye 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one</jtitle><date>2022-11-14</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0275611</spage><epage>e0275611</epage><pages>e0275611-e0275611</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>This study aimed to establish the efficacy, safety, and immunogenicity equivalence of the proposed biosimilar CKD-701 with the reference ranibizumab in patients with treatment-naïve neovascular age-related macular degeneration (nAMD). A total of 312 participants with active subfoveal choroidal neovascularization were randomly assigned to either the CKD-701 (n = 156) or reference ranibizumab (n = 156) arms. The initial 3-month loading intraocular injections were followed by pro re nata (PRN) dosing for 9 months. The primary outcome was the proportion of patients with less than 15-letters of corrected visual acuity (BCVA) loss at 3 months visit (one month after last loading injection) compared to the baseline time point. The presence of retinal fluid, and changes in BCVA and central retinal thickness (CRT) were assessed as secondary efficacy outcomes. Immunogenicity and safety were evaluated in both treatment arms. In the CKD-701 arm, 143 (97.95%) patients lost <15 letters in the BCVA at 3 months compared to 143 (98.62%) in the reference arm (P = 0.67). The BCVA improved with a mean improvement of +7.0 (CKD-701) and +6.2 (ranibizumab) letters at 3 months (P = 0.43). The least-squares mean (SE) changes in CRT at 3 months from the baseline were -119.3 (12.0) [mu]m and -124.5 (11.9) [mu]m in the CKD-701 and ranibizumab groups, respectively (P = 0.74). The proportion of participants with subretinal or intraretinal fluid at 3, 6, and 12 months was similar between the study arms. The number (SE) of injections were 8.36 (3.13) in the CKD-701 and 8.26 (2.92) in ranibizumab (P = 0.62). The occurrence of adverse events and antidrug antibody in the study arms were also not statistically different. CKD-701 is a biosimilar to the reference ranibizumab in terms of efficacy, safety, and immunogenicity for the treatment of patients with nAMD. Moreover, improvement and maintenance of visual outcome were achieved through PRN regimen.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>36374913</pmid><doi>10.1371/journal.pone.0275611</doi><tpages>e0275611</tpages><orcidid>https://orcid.org/0000-0002-1795-202X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Acuity Age Age related diseases Antibodies Biological products Biology and Life Sciences Biosimilar pharmaceuticals Clinical trials Confidence intervals Diabetes Diabetic retinopathy Drug therapy Effectiveness Eye diseases Immunogenicity Macular degeneration Medicine and Health Sciences Monoclonal antibodies Patient outcomes Patients Research and Analysis Methods Retina Safety Social Sciences Testing Vascular endothelial growth factor Vascularization Visual acuity |
title | Efficacy and safety of a new ranibizumab biosimilar CKD-701 using a pro re nata treatment regimen in neovascular age-related macular degeneration: A phase 3 randomized clinical trial |
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