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GP2411

Phase 3

Postmenopausal Women With Osteoporosis | Monoclonal antibody | Endocrine |Novartis AG|Last Updated: Mar 8, 2023

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 Enrollment527
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03974100Study Investigating PK, PD, Efficacy, Safety, and Immunogenicity of Biosimilar Denosumab (GP2411) in Patients With Postmenopausal OsteoporosisPHASE3 COMPLETED 527Jul 2, 2019Apr 22, 2022Mar 8, 202342 United States, Bulgaria +4
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Study Endpoints
Primary Endpoints
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (LS-BMD) at Week 52 - Per-Protocol Set
Baseline (screening), up to Week 52

Bone density measurements were performed by dual energy X-ray absorptiometry (DXA). Lumbar spine scan included L1 through L4 vertebrae. All DXA scans were submitted to a central imaging vendor for analysis. A mixed effect model for repeated measurements (MMRM) was fitted to the changes from baseline in LS-BMD for all post-baseline time points up to Week 52. Values at Week 52 were estimated from the model and are presented in the table.

Percent Change From Baseline in Lumbar Spine Bone Mineral Density (LS-BMD) at Week 52 - TP1 Full Analysis Set
Baseline (screening), up to Week 52

Bone density measurements were performed by DXA. Lumbar spine scan included L1 through L4 vertebrae. All DXA scans were submitted to a central imaging vendor for analysis. A MMRM was fitted to the changes from baseline in LS-BMD for all post-baseline time points up to Week 52. Missing values were assumed to be missing at random (MAR) using the MMRM model. Values at Week 52 were estimated from the model and are presented in the table.

Area Under the Effect-time Curve (AUEC) of Percentage Change From Baseline in Serum CTX Concentrations After First Dose - Pharmacodynamic Analysis Set
Baseline (pre-dose Day 1), up to Week 26

Carboxy-terminal crosslinked telopeptides of type I collagen (CTX) is a bone resorption biomarker. Serum CTX concentration-time data were analyzed by non-compartmental methods. The AUEC of baseline corrected serum CTX concentrations (% change from baseline) was calculated using the linear trapezoidal method. Values below the lower limit of quantification (LLOQ) were imputed with the actual value for the LLOQ.

Maximum Observed Serum Concentration (Cmax) of Denosumab After First Dose
Baseline (pre-dose Day 1), up to Week 26

Serum denosumab concentration-time data were analyzed by non-compartmental methods. Missing denosumab serum concentrations or concentrations below the LLOQ were not imputed and handled as missing values, except for the pre-dose sample which were treated as zero.

Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUCinf) of Denosumab After First Dose
Baseline (pre-dose Day 1), up to Week 26

Serum denosumab concentration-time data were analyzed by non-compartmental methods. Missing denosumab serum concentrations or concentrations below the LLOQ were not imputed and handled as missing values, except for the pre-dose sample which were treated as zero. The linear-up log-down trapezoidal method was used for the AUCinf calculation.

Secondary Endpoints
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (LS-BMD) at Week 26 - Treatment Period 1 (Per-Protocol Set)
Baseline (screening), Week 26
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (LS-BMD) at Week 26 - Treatment Period 1 (TP1 Full Analysis Set)
Baseline (screening), Week 26
Percent Change From Baseline in Lumbar Spine Bone Mineral Density (LS-BMD) at Week 78 - Treatment Period 2 (TP2 Full Analysis Set)
Baseline (screening), Week 78
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GP2411EXPERIMENTAL60 mg /mL subcutaneous injection every 6 months
EU authorized ProliaACTIVE_COMPARATOR60 mg /mL subcutaneous injection every 6 months
Interventions
NameTypeDescription
GP2411BIOLOGICAL60 mg /mL subcutaneous injection every 6 months
EU-Prolia (EU-authorized Prolia®)BIOLOGICAL60 mg /mL subcutaneous injection every 6 months
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Eligibility Criteria
Age Range55 Years — 80 Years
SexFEMALE
Healthy VolunteersNo
Study Sites42

Inclusion Criteria: * Postmenopausal women, diagnosed with osteoporosis * Aged ≥ 55 and ≤ 80 years at screening * Body weight ≥ 50 kg and ≤ 90 kg at screening * Absolute bone mineral density consistent with T-score ≤ -2.5 and ≥ -4.0 at the lumbar spine as measured by DXA * At least two vertebrae in...

Countries:United StatesBulgariaCzechiaJapanPolandSpain
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