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AVT03

Phase 3

Osteoporosis, Postmenopausal | Monoclonal antibody | Endocrine |Alvotech|Trials Updated: May 29, 2025

AVT03 development status

Highest phase Phase 3
Registered trials 3 across 1 sponsor since Nov 2021

AVT03 target and mechanism

Molecular targetdenosumab
Target classProtein
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment532

FDA Designations

No designations recorded

AVT03 clinical trials

AVT03 · 1 trial · 1 indication

Phase 3 1
NCT05395091Multicenter Study in Postmenopausal Women With Osteoporosis, ALVOBONDOsteoporosis, Postmenopausal
COMPLETED532 Analytics
PHASE3COMPLETED
Multicenter Study in Postmenopausal Women With Osteoporosis, ALVOBOND
Osteoporosis, PostmenopausalUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in LS BMD at Month 12 to Demonstrate Comparable Efficacy of AVT03 and Prolia®.
Baseline to Month 12

Percent Change From Baseline in LS BMD at Month 12 to demonstrate comparable efficacy of AVT03 and Prolia®.

To Demonstrate Comparable Profile of AVT03 and Prolia in Terms of Area Under the Percent Change From Baseline in Serum C-telopeptide of Type 1 Collagen (AUEC of %Cfb sCTX-1)
Baseline to Month 6

Secondary Endpoints

Percent Change From Baseline in LS BMD
Month 6, Month18
Percent Change From Baseline in Hip and Femoral Neck BMD
Month 6, Month 12, Month 18
Incidence of New Morphometric Vertebral Fractures
Month 12 and 18
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AVT03EXPERIMENTALAVT03 is the proposed biosimilar for Prolia.
ProliaACTIVE_COMPARATOR -

Interventions

NameTypeDescription
AVT03BIOLOGICALAVT03 (denosumab) is a recombinant fully human IgG2 monoclonal antibody to RANKL to be administered as a subcutaneous injection. Subjects in this arm received AVT03 60mg administered s.c. on Day 1 and at Month 6. At Month 12, subjects in the AVT03 arm received a third dose of AVT03 60 mg.
DenosumabBIOLOGICALProlia (denosumab) is a recombinant fully human IgG2 monoclonal antibody to RANKL developed to be administered as a subcutaneous injection. Subjects in this arm received 60mg of commercially available US-Prolia, administered s.c on Day 1 and at Month 6. At Month 12, subjects in the Prolia treatment group were re-randomized in a 1:1 ratio to receive either: * AVT03 60 mg administered s.c. on Day365. * Prolia 60 mg administered s.c. on Day365.
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Eligibility Criteria

Age Range50 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites34

1. Postmenopausal women with osteoporosis willing to sign an informed consent form (ICF)and able to undergo protocol related procedures. 2. A baseline dual-energy x-ray absorptiometry (DXA) scan with a T score ≤-2.5 and * 4.0 at the LS (L1 to L4)and/or, total hip, and/or femoral neck. 3. Age: ≥5...

Countries:BulgariaCzechiaGeorgiaPolandSouth Africa
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Frequently asked questions about AVT03

What is AVT03?

AVT03 is an investigational monoclonal antibody developed by Alvotech as a proposed biosimilar to denosumab. It is being studied for the treatment of postmenopausal osteoporosis, a condition in which bone density decreases after menopause. AVT03 is a Phase 3 candidate and has not been approved by the FDA.

What is AVT03 used for?

AVT03 is being developed for postmenopausal osteoporosis, the bone-thinning condition that affects women after menopause. Its clinical program has focused on this indication, with a Phase 3 study conducted in postmenopausal women aged 50 years and older. AVT03 remains investigational and is not approved for any use.

What does AVT03 target?

AVT03 targets denosumab, meaning it is designed as a biosimilar version of the denosumab monoclonal antibody. Denosumab is a protein therapeutic that acts on the RANK ligand pathway to reduce bone resorption. AVT03 is intended to match the reference denosumab product rather than act through a novel mechanism.

Who makes AVT03?

AVT03 is developed by Alvotech, a biotechnology company that trades on the Nasdaq under the ticker ALVO. Alvotech specializes in the development and manufacture of biosimilar medicines. AVT03 is one of the company's monoclonal antibody biosimilar candidates.

What phase is AVT03 in?

AVT03 is in Phase 3 development. Its single registered trial, ALVOBOND, was a Phase 3 study that has been completed. AVT03 is an investigational product and has not been approved by the FDA for postmenopausal osteoporosis or any other indication.

What clinical trials is AVT03 in?

AVT03 has been evaluated in one clinical trial, NCT05395091, also called ALVOBOND. This completed Phase 3 study was a multicenter, randomized, double-blind, active-controlled trial that enrolled 532 postmenopausal women with osteoporosis across Bulgaria, Czechia, Georgia, Poland, and South Africa.