Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients

Author:

Mayorov Alexandr Y1ORCID,Mosikian Anna A2ORCID,Alpenidze Diana N3,Makarenko Igor E2ORCID,Orlova Valeria L4,Lunev Ivan S2,Verbovaya Maria V5,Zinnatulina Bella R2,Khokhlov Alexander L6ORCID,Drai Roman V2ORCID

Affiliation:

1. Diabetes institution, Endocrinology Research Centre, Moscow, Russia

2. Department of Clinical trial, OOO GEROPHARM, Saint Petersburg, Russia

3. Department of Endocrinology, City Outpatient Clinic No. 117, Saint Petersburg, Russia

4. Department of Endocrinology, City Hospital No. 2, Saint Petersburg, Russia

5. Department of Endocrinology, Diabetes Center Ltd, Samara, Russia

6. The Chair of Clinical Pharmacology, Yaroslavl State Medical University, Yaroslavl, Russia

Abstract

Aim: To compare safety (immunogenicity) and efficacy of a biosimilar insulin GP-Lis25 and a reference insulin Ly-Lis25 (Humalog Mix 25) in Type 2 diabetes mellitus (T2D) patients. Materials & methods: This randomized open-label, 26-week clinical trial enrolled 210 T2D patients, randomized 1:1 to twice-daily GP-Lis25 or Ly-Lis25. The primary end point was immune response at 26th week. Noninferiority margin for HbA1c was 0.4%. Results: Immune response frequency was similar in GP-Lis25 and Ly-Lis25 groups both at week 12 (p = 0.651) and 26 (p = 0.164). The difference of HbA1c change at week 26 was (95% CI) 0.01 (-0.27–0.28)%. Fasting plasma glucose, seven-point glucose profile and insulin dose were similar between groups. Safety did not differ between groups. Conclusion: GP-Lis25 and Ly-Lis25 demonstrated similar safety and efficacy. ClincalTrials.gov identifier: NCT04023344 .

Publisher

Future Medicine Ltd

Subject

Health Policy

Reference13 articles.

1. Standards of specialized diabetes care. Edited by Dedov I.I., Shestakova M.V., Mayorov A.Yu. 9th edition

2. EMA. Biosimilar medicines: overview (EMA) (2020). www.ema.europa.eu/en/human-regulatory/overview/biosimilar-medicines-overview

3. Resolution No. 89 of November 3, 2016 On Approval of the Rules on Conduct of Studies of Biological medicines in the Eurasian Economic Union, Chapter 15.7 Preclinical and clinical development of bioanalogue (biosimilar) medicinal products containing recombinant insulin and insulin analogues. (2016).

4. European Medical Agency. Guideline on non-clinical and clinical development of similar biological medicinal products containing recombinant human insulin and insulin analogues. EMEA/CHMP/BMWP/32775/2005_Rev. 1 (2015). www.ema.europa.eu/en/documents/scientific-guideline/first-draft-guideline-non-clinical-clinical-development-similar-biological-medicinal-products_en.pdf

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