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CTRI Number  CTRI/2024/12/077726 [Registered on: 05/12/2024] Trial Registered Prospectively
Last Modified On: 04/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Biological 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study in normal healthy participants to evaluate the main out come of PK and safety, tolerability after exposure to Biocon’s ustekinumab given as single dose of 45 mg SI either by an autoinjector or by a prefilled syringe in a comparative clinical study. 
Scientific Title of Study   A phase 1, randomized, open-label, 2-arm, parallel design study in normal Healthy subjects to evaluate pharmacokinetics, safety, and tolerability of Bmab 1200 -autoinjector (biosimilar ustekinumab) after single Subcutaneous injection in comparison with Bmab 1200 -prefilled syringe (biosimilar ustekinumab)  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
BIO-USTEKI-104, Version:-1.1, 28/06/2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrDwarkesh Oswal MD 
Designation  Principal Investigator  
Affiliation  Lambda Therapeutic Research Ltd., 
Address  Lambda House, Plot No. 38, Survey No. 388, Near Silver Oak University, S. G. Highway, Gota, Ahmedabad-382481. Gujarat. India

Ahmadabad
GUJARAT
382481
India 
Phone  07940202281  
Fax    
Email  dwarkeshroswal@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  DrSarika S Deodhar 
Designation  Sr Director (Medical Lead) 
Affiliation  Biocon Biologics Limited 
Address  Biocon Biologic Limited, Electronic City, Bangalore, 560100, KARNATAKA, India

Bangalore
KARNATAKA
560100
India 
Phone  08028085302  
Fax    
Email  sarika.deodhar@biocon.com  
 
Details of Contact Person
Public Query
 
Name  Jayanti Panda 
Designation  Sr Director  
Affiliation  Biocon Biologics Limited  
Address  Biocon Biologic Limited, Electronic City, Bangalore, 560100,KARNATAKA, India

Bangalore
KARNATAKA
560100
India 
Phone  08028085304  
Fax    
Email  Jayanti.Panda@biocon.com  
 
Source of Monetary or Material Support  
Biocon Biologics UK Limited, 16, Great Queen Street, Covent Garden, London, United Kingdom, WC2B 5AH  
 
Primary Sponsor  
Name  Biocon Biologics UK Limited  
Address  16, Great Queen Street, Covent Garden, London, WC2B 5AH, United Kingdom  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Biocon Biologics Limited  Biocon Biologics Limited Biocon House, Ground Floor Tower-3, Semicon Park, Electronic City, Phase-ll Hosur Road. Bengaluru, Karnataka- 560100  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dwarkesh Oswal MD  Lambda Therapeutic Research Ltd.  Lambda Therapeutic Research Ltd., Lambda house, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota, Ahmedabad - 382481, Gujarat, India.
Ahmadabad
GUJARAT 
07940202281

dwarkeshroswal@lambda-cro.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Riddhi Medical Nursing Home Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Normal Healthy volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bmab 1200 AI (Biosimilar Ustekinumab)  Dosage Form: injection, Auto-injector (AI) Strength(s): 45 mg/ 0.5 mL Route of Administration: Subcutaneous Frequency and Dose: 45 mg, single dose  
Comparator Agent  Bmab 1200 PFS (Biosimilar Ustekinumab)  Dosage Form: injection, Prefilled Syringe (PFS) Strength(s): 45 mg/ 0.5 mL Route of Administration: Subcutaneous Frequency and Dose: 45 mg, single dose  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Inclusion Criteria
a.Non-smokers, healthy, adult, human volunteers between 18 to 55 years of age (both inclusive).
b.Having BMI between 18.5 to 28.0 m2 and having a body weight between 60 kg and 90 kg (both inclusive for bothe parameters).
c.Not having any significant diseases or clinically significant abnormal findings during screening, medical history, clinical examination, laboratory evaluations, 12-lead ECG and X-ray chest (P/A view) recordings.
d.Able to understand and comply with the study procedures, in the opinion of the investigator.

e.Able to give voluntary written informed consent for participation in the study.
f.Subjects should not receive a BCG vaccine within 1 year before dosing and agree to not take it during the study and at least 1 year after dosing.

g.Subjects will agree not to receive live vaccination during the study.
h.Subject will agree not to donate blood/ plasma/ platelets during the study and at least 3 months after the end of study.
i.For male subjects
i.Subjects agree to use effective contraception (e.g. Double barrier method) and refrain from donation of sperm from check-in until 90 days after the end of study.
j.In case of female subjects:
i.Surgically sterilized at least 6 months prior to study participation
Or
If subject is of child-bearing potential, is willing to use a suitable and effective double barrier contraceptive method or intrauterine device during the study and till 4 months after the end of study.
Or
Post-menopausal women.
And
ii.Serum pregnancy test must be negative.
iii.Subjects will agree to refrain from donation of ova from check-in until 90 days after the end of study.
 
 
ExclusionCriteria 
Details  a. Known hypersensitivity or idiosyncratic reaction to ustekinumab or any excipients or any related drug or any substance (specifically any biologic product or the constituents of Bmab 1200).
b. Known hypersensitivity to host cell [ murine myeloma cell or Chinese hamster ovary cells] derived proteins, latex), food, or other substance.
c. History or presence of any disease or condition which might compromise the haemopoietic, renal, hepatic, endocrine, pulmonary, central nervous, cardiovascular, immunological, dermatological, gastrointestinal, or any other body system.
d. Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes,
e. Use or intend to use any prescription medications/products or other acceptable concomitant Medications within 30 days prior to dosing or slow-release medications/products considered to still be active within 14 days prior to check-in.
f. Use or intend to use any nonprescription medications/ products, including vitamins, minerals, and phytotherapeutic/ herbal/ plant-derived preparations within 7 days prior to check-in.
g. Use of any vaccine from 4 weeks prior to screening;
h. The QTc interval more than 450 ms for male and more than 460 ms for female at the time of screening.
i. Any history or presence of asthma (including aspirin-induced asthma) or nasal polyp or NSAIDs induced urticaria.
j. A recent history of harmful use of alcohol (less than 2 years), or consumption of alcohol or alcoholic products within 48 hours prior to receiving study drug.
k. Smokers, or who have smoked within the last six months prior to the start of the study.
l. The presence of clinically significant abnormal laboratory values during screening.
m. Use of any recreational drugs or history of drug addiction or testing positive in pre-study drug scans.
n. History or presence of seizure or psychiatric disorders.
o. A history of difficulty with donating blood.
p. Donation of blood (1 unit or 350 mL) or plasma/ platelets in the last 90 days prior to screening until 3 months after the end of study visit.
q. Participation m a clinical study involving the administration of an investigational drug in the past 90 days or 5 half-lives (whichever is longer), prior to dosing.
r. A positive hepatitis screen including hepatitis B surface antigen and/or HCV antibodies.
s. A positive test result for HIV antibody (I &/or 2).
t. Current history of active infections, including significant localized infections, cough or fever, or current /previous history of recurrent or chronic infections. (At screening and within 1 week prior to study drug administration)
u. History of active tuberculosis (TB) or presence of active or latent TB. A positive result for IGRA (Interferon Gamma Release Assay) test at screening.
v. Known history of previous exposure to ustekinumab or ustekinumab biosimilar, or any IL-12 or IL-23 monoclonal antibodies, approved or investigational.
w. Consumption of grapefruit or grapefruit products within 72 hours prior to dosing.
x. An unusual diet, for whatever reason (for example, fasting, high potassium or low sodium), for four weeks prior to receiving the study medicine. In any such case, subject selection will be at the discretion of the Principal Investigator.
y. Ingestion of poppy seed-containing foods or beverages within 7 days prior to check-in.
z. Receipt of blood products within 2 months prior to check-in.
aa. Poor peripheral venous access.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
o Comparison of area under the concentration-time curve from time 0 to infinity (AUC0-inf) and maximum observed concentration (Cmax) of drug Bmab 1200 given as single dose of 45 mg subcutaneously either by an autoinjector (AI) or by a prefilled syringe (PFS)  Week 16  
 
Secondary Outcome  
Outcome  TimePoints 
AUCo-t (Area Under the serum Concentration versus time curve from time 0 to the last sampling time at which concentrations were at or above the limit of quantification )  Week 16  
Tmax(time to maximum observed concentration)   Week 16  
AUC_%Extrap_obs (% of the AUC that has been derived after extrapolation.)  Week 16 
Æ›z – Elimination rate constant  Week 16  
Vd (Volume of distribution)   Week 16 
Cl (drug clearance)  Week 16 
t1/2 (apparent terminal elimination half-life)  Week 16  
 
Target Sample Size   Total Sample Size="186"
Sample Size from India="186" 
Final Enrollment numbers achieved (Total)= "186"
Final Enrollment numbers achieved (India)="186" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   15/12/2024 
Date of Study Completion (India) 22/03/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Bmab 1200 is being developed as a proposed biosimilar product to the reference product Stelara® in accordance with EU and US biosimilar guidelines. The currently available Bmab 1200 formulation is administered via SC injection using PFS (similar to the reference product Stelara®). The main purpose of this study is to establish the PK equivalence of Bmab 1200 -AI following a single SC injection ( 45 mg) in comparison with Bmab 1200 -PFS. AI and PFS are self-injectable devices that can deliver drugs through the SC route. This study will also assess the safety and tolerability of Bmab 1200 AI in comparison with Bmab 1200 PFS. This will enable the licensure of AI to improve patient compliance through controlled and standardized administration of Bmab 1200 
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