Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients
Publication: Journal of Comparative Effectiveness Research
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.
Supplementary Material
File (suppl_file.docx)
- Download
- 13.97 KB
References
Papers of special note have been highlighted as: • of interest; •• of considerable interest
1.
Dedov II, Shestakova MV, Mayorov AY et al. Standards of specialized diabetes care (9th edition). Diabetes Mellitus 22(1S1), 1–144 (2019).
• All the medicinal features of the clinical trial protocol are based on this document.
2.
EMA. Biosimilar medicines: overview (EMA) (2020). www.ema.europa.eu/en/human-regulatory/overview/biosimilar-medicines-overview
3.
Mulcahy AW, Hlavka JP, Case SR. Biosimilar cost savings in the United States: initial experience and future potential. Rand Health Q. 7(4), 3 (2018).
4.
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).
•• Main regulatory guidance for biosimilar insulin registration in the Eurasian Economic Union.
5.
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
• Original regulatory guidance for registration of insulin biosimilars in the European Union.
6.
Mayorov A Yu, Fedotov IA, Drai RV, Avdeeva OI, Makarenko IE. Results of the Estimation of Biosimilarity of RinLiz® (LLC «GEROPHARM», Russia) and Humalog® (Lilly France, France) Using the Method of the Hyperinsulinemic Eulygemic Clamp on Healthy Voluntary. Drug development & registration. 9(2), 124–131 (2020).
7.
Mayorov AY, Koksharova EO, Mishina EE et al. Assessment the equivalence of the bioanalogue insulin lizpro biphasic 25 (Geropharm-bio, Russia) and Humalog Mix 25 (Lilly France, France) using the euglycemic hyperinsulinum clamp method on healthy volonters. Diabetes Mellitus 21(6), 462–471 (2018).
8.
Abramenko NB, Vnukova PI, Golovina ES et al. Development and validation of approach for the detection of neutralizing antibodies against insulin (glargine) in human blood plasma. Drug Devel. Registration 8(3), 70–78 (2019).
9.
Dedov II, Shestakova MV, Mayorov AY et al. Standards of specialized diabetes care (8th Edition). Diabetes Mellitus 20(S1), 1–121 (2017).
10.
European Medical Agency. Guideline on clinical investigation of medicinal products in the treatment or prevention of diabetes mellitus. CPMP/EWP/1080/00 Rev. 1 (2012). www.ema.europa.eu/en/documents/scientific-guideline/guideline-clinical-investigation-medicinal-products-treatment-prevention-diabetes-mellitus-revision_en.pdf
11.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310, 2191–2194 (2013).
12.
Derwahl KM, Bailey TS, Wernicke-Panten K et al. Efficacy and safety of biosimilar SAR342434 insulin lispro in adults with Type 2 diabetes, also using insulin glargine: SORELLA 2 study. Diabetes Technol. Ther. 20(1), 49–58 (2018).
13.
Hollander PA, Carofano WL, Lam RLH et al. Efficacy and safety of MK-1293 insulin glargine compared with originator insulin glargine (Lantus) in Type 2 diabetes: a randomized, open-label clinical trial. Diabetes Obes. Metab. 20(9), 2229–2237 (2018).
Information & Authors
Information
Published In
Pages: 55 - 66
PubMed: 33355484
Copyright
© 2020 Future Medicine Ltd.
History
Received: 25 April 2020
Accepted: 27 October 2020
Published online: 23 December 2020
Keywords:
Topics
Authors
Metrics & Citations
Metrics
Article Usage
Article usage data only available from February 2023. Historical article usage data, showing the number of article downloads, is available upon request.
Citations
How to Cite
Efficacy and safety of GP40021 insulin lispro biphasic compared with Humalog Mix 25 in Type 2 diabetes mellitus patients. (2020) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2020-0064
Export citation
Select the citation format you wish to export for this article or chapter.
Citing Literature
- Xiaoxuan Xing, Lingyi Zhao, Ke Wang, Zhizhou Wang, Lan Zhang, Xianzhe Dong, Therapeutic equivalence and switching between biosimilar and reference insulins: A systematic review and meta‐analysis of randomised controlled trials, Diabetes, Obesity and Metabolism, 10.1111/dom.70328, 28, 2, (1371-1382), (2025).
- N. A. Petunina, I. A. Kuzina, M. E. Telnova, E. V. Goncharova, N. S. Martirosyan, A. O. Shchetinina, M. V. Khachaturov, Insulin therapy for elderly patients with type 2 diabetes mellitus, Meditsinskiy sovet = Medical Council, 10.21518/ms2024-127, 6, (16-22), (2024).
- Ekaterina Koksharova, Roman Drai, Sergei Noskov, Artem Dorotenko, Ekaterina Protsenko, Kseniia Radaeva, Anna Arefeva, Maria Gefen, Gagik Galstyan, Igor Makarenko, Clinical Pharmacology of GP40321 (Insulin Glulisine Biosimilar): Pharmacokinetic and Pharmacodynamic Comparability in a Hyperinsulinemic‐Euglycemic Clamp Procedure, Clinical Pharmacology in Drug Development, 10.1002/cpdd.1401, 13, 7, (828-836), (2024).
- Thomas Danne, Lutz Heinemann, Jan Bolinder, New Insulins, Biosimilars, and Insulin Therapy, Diabetes Technology & Therapeutics, 10.1089/dia.2022.2503, 24, S1, (S-35-S-57), (2022).
- Li-Jou Yang, Ta-Wei Wu, Chao-Hsiun Tang, Tzu-Rong Peng, Efficacy and immunogenicity of insulin biosimilar compared to their reference products: a systematic review and meta-analysis, BMC Endocrine Disorders, 10.1186/s12902-022-00944-5, 22, 1, (2022).
