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GP2411

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment527

FDA Designations

No designations recorded

Clinical trial landscape

GP2411 · 1 trial · 1 indication

Phase 3 1
NCT03974100Study Investigating PK, PD, Efficacy, Safety, and Immunogenicity of Biosimilar Denosumab (GP2411) in Patients With Postmenopausal OsteoporosisPostmenopausal Women With Osteoporosis
COMPLETED527 Analytics
PHASE3COMPLETED
Study Investigating PK, PD, Efficacy, Safety, and Immunogenicity of Biosimilar Denosumab (GP2411) in Patients With Postmenopausal Osteoporosis
Postmenopausal Women With OsteoporosisUnlock trial analytics

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 to 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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Frequently asked questions about GP2411

What is GP2411 used for?

GP2411 is an investigational monoclonal antibody being studied for the treatment of postmenopausal women with osteoporosis. It is being developed as a biosimilar to denosumab and is intended to address bone loss in this patient population.

What does GP2411 target?

GP2411 is a monoclonal antibody biosimilar to denosumab, which targets RANKL, a protein involved in bone resorption. By inhibiting RANKL, GP2411 aims to reduce bone loss and improve bone density in postmenopausal women with osteoporosis.

Who makes GP2411?

GP2411 is being developed by Novartis AG, a global pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. Novartis is conducting clinical trials to evaluate the safety and efficacy of GP2411 in patients with osteoporosis.

What phase is GP2411 in?

GP2411 is in Phase 3 clinical development. A Phase 3 trial has been completed, evaluating the pharmacokinetics, pharmacodynamics, efficacy, safety, and immunogenicity of GP2411 in postmenopausal women with osteoporosis. The drug is still investigational and not yet approved.

What clinical trials is GP2411 in?

GP2411 has one completed Phase 3 clinical trial, identified as NCT03974100. This study enrolled 527 postmenopausal women with osteoporosis across the United States, Bulgaria, Czechia, Japan, Poland, and Spain. The trial was randomized, double-blind, and active-controlled.

Is GP2411 the same as denosumab?

GP2411 is a biosimilar to denosumab, meaning it is designed to be highly similar to the reference biologic denosumab. While it is not the identical product, it is intended to have comparable efficacy, safety, and immunogenicity for treating postmenopausal osteoporosis.