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AVT05

Phase 3

Rheumatoid Arthritis | Monoclonal antibody | Immunology |Alvotech|Last Updated: May 28, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment502

FDA Designations

No designations recorded

Clinical trial landscape

AVT05 · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT05842213Comparative, Multicenter Study in Subjects with Rheumatoid Arthritis, ALVOFLEXRheumatoid Arthritis
COMPLETED502 Analytics
PHASE3COMPLETED
Comparative, Multicenter Study in Subjects with Rheumatoid Arthritis, ALVOFLEX
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Demonstrate comparative efficacy of AVT05 with EU-approved Simponi as measured by DAS28-CRP at week 16.
Week 16

Change from baseline in DAS28-CRP response criteria at week 16

To Demonstrate the PK Similarity of AVT05 With US Licensed and EU Approved Simponi and the PK of EU Approved Simponi With US Licensed Simponi
Day zero to day 75 - days 1 (within the hour prior to dosing and at 8 and 12 hours post-dose), 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 22, 29, 36, 43, 50, 57, 64, and 75.

The primary PK parameters to be compared is Cmax and AUC0-inf.

Secondary Endpoints

Assess additional efficacy measures of AVT05 and EU-Simponi in terms of DAS28-CRP
Weeks 4, 8, 12, 24, 32, 40, 48 and 52
Assess additional efficacy measures of AVT05 and EU-Simponi in terms of ACR20/50/70 and its individual components throughout the study
Weeks 4, 8, 12, 16, 24, 32, 40, 48 and 52
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AVT05EXPERIMENTALAVT05 is the proposed biosimilar to Simponi. Subjects in this arm will receive AVT05 50mg s.c. every 4 weeks until week 48. Intervention: Biological: Golimumab
SimponiACTIVE_COMPARATORSubjects in this arm will receive EU Simponi 50mg s.c. every 4 weeks until week 12. At week 16 responders will be re-randomized in a 1:1 ratio to receive either: AVT05 50mg s.c. every 4 weeks until week 48 Simponi 50mg s.c. every 4 weeks until week 48 Intervention: Biological: Golimumab
AVT05 50mg s.c.EXPERIMENTALSingle dose Pre-filled syringe to be injected subcutaneously into thigh or abdomen
EU Simponi 50mg s.c.ACTIVE_COMPARATORSingle dose Pre-filled syringe to be injected subcutaneously into thigh or abdomen
US Simponi 50mg s.c.ACTIVE_COMPARATORSingle dose Pre-filled syringe to be injected subcutaneously into thigh or abdomen

Interventions

NameTypeDescription
AVT05 (proposed biosimilar to golimumab)BIOLOGICALAVT05 is a recombinant human IgG1қ mAb developed as a subcutaneous injection
Simponi (Golimumab)BIOLOGICALSimponi (Golimumab) is a recombinant human IgG1қ mAb developed as a subcutaneous injection
AVT05BIOLOGICALPre filled syringes filled with AVT05
SimponiBIOLOGICALPre filled syringes filled with Simponi
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subjects diagnosed with active RA according to ACR/EULAR 2010 classification criteria * Subjects diagnosed with moderately to severe active RA as defined by ≥ 6 swollen (out of 66) and ≥6 tender (out of 68) joint counts, CRP \>1mg/l and with at least one of positive rheumatoid...

Countries:BulgariaNew ZealandUnited Kingdom
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Frequently asked questions about AVT05

What is AVT05 used for?

AVT05 is an investigational monoclonal antibody being studied for use in healthy adult subjects and in patients with rheumatoid arthritis. It is being developed as a potential biosimilar to Simponi, and clinical studies have evaluated its pharmacokinetics, safety, and tolerability compared with US and EU versions of Simponi.

What does AVT05 target?

AVT05 is a monoclonal antibody that targets tumor necrosis factor alpha, a key inflammatory cytokine involved in autoimmune conditions like rheumatoid arthritis. By binding to this target, it is designed to modulate the inflammatory response, though it remains investigational and has not been approved by regulatory authorities.

Who makes AVT05?

AVT05 is being developed by Alvotech, a biopharmaceutical company focused on biosimilars. Alvotech is publicly traded under the ticker ALVO. The company has conducted clinical trials for AVT05 in healthy volunteers and in patients with rheumatoid arthritis.

What phase is AVT05 in?

AVT05 has completed a Phase 1 clinical trial and a Phase 3 clinical trial. The Phase 1 study investigated its pharmacokinetics, safety, and tolerability in healthy adults, while the Phase 3 study, called ALVOFLEX, compared it in patients with rheumatoid arthritis. AVT05 is still investigational and not yet approved.

What clinical trials is AVT05 in?

AVT05 has been studied in two completed clinical trials. NCT05632211 was a Phase 1 study in healthy adult participants in New Zealand and the United Kingdom, with 336 enrolled. NCT05842213 was a Phase 3 study in patients with rheumatoid arthritis in Bulgaria, with 502 enrolled. Both trials were randomized and double-blind.

Is AVT05 the same as Simponi?

AVT05 is being developed as a potential biosimilar to Simponi, which is a brand-name biologic. Clinical trials have directly compared AVT05 with US and EU versions of Simponi to evaluate pharmacokinetic similarity, safety, and tolerability. However, AVT05 is a distinct investigational product and is not yet approved.