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AVT05

Phase 3

Rheumatoid Arthritis | Monoclonal antibody | Immunology |Alvotech|Last Updated: Oct 2, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment502
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05842213Comparative, Multicenter Study in Subjects with Rheumatoid Arthritis, ALVOFLEXPHASE3 COMPLETED 502Mar 30, 2023Sep 24, 2024Oct 2, 20241 Bulgaria
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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

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
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
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Eligibility Criteria
Age Range18 Years — 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:Bulgaria
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