Evidence map›Paper›PMID 30900158›Full record

Trial reportBioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy2019

PF-06881893 (Nivestym™), a Filgrastim Biosimilar, Versus US-Licensed Filgrastim Reference Product (US-Neupogen

Hsuan-Ming Yao, Faith D Ottery, Troy Borema, Stuart Harris, Jeffrey Levy, Tom B May, Shahrzad Moosavi, Jeffrey Zhang, Martin Summers

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02766634 phase1completednot on this map

A Randomized Open-label, Multiple-dose, Crossover Study Evaluatig The Pharmacodynamics And Pharmacokinetics Of Filgrastim Hospira Compared To Us-approved Neupogen (Registered) Following Subcutaneous Administration To Healthy Volunteers

TypeinterventionalSponsorPfizerRan2016 to 2016Enrolled60ConditionsNeutropenia (Low White Blood Cell Count)ArmsFilgrastim Hospira (US), U.S.-approved Neupogen®
NCT02766647 phase1completednot on this map

A Randomized Open-Label, Single-Dose, Crossover Study Evaluating The Pharmacokinetics And Pharmacodynamics Of Filgrastim Hospira Compared To U.S.-Approved Neupogen® (Amgen) Following Subcutaneous Administration To Healthy Volunteers

TypeinterventionalSponsorPfizerRan2015 to 2016Enrolled24ConditionsNeutropenia (Low White Blood Cell Count)ArmsFilgrastim Hospira (US), US-approved Neupogen®
NCT02923791 phase1completednot on this map

A Phase I, Randomized Open-label, 2-period, Parallel Arm Study To Assess The Immunogenicity Of Multiple Subcutaneous (SC) Doses Of "Filgrastim Hospira" (US) Or US-approved Neupogen(Registered) Reference Product In Healthy Volunteers

TypeinterventionalSponsorPfizerRan2016 to 2017Enrolled256ConditionsHealthy VolunteersArmsFilgrastim Hospira, US-Approved Neupogen
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hsuan-Ming YaoPfizer Inc, 275 N Field Dr. Bldg H1-3S, Lake Forest, IL, 60045, USA. hsuan-ming.yao@pfizer.com.ORCID http://orcid.org/0000-0002-1652-2749
Faith D OtteryPfizer Inc, 275 N Field Dr. Bldg H1-3S, Lake Forest, IL, 60045, USA.
Troy BoremaQuotient Sciences, Miami, FL, USA.
Stuart HarrisQuotient Sciences, Miami, FL, USA.
Jeffrey LevyQuotient Sciences, Miami, FL, USA.
Tom B MayPfizer Inc, 275 N Field Dr. Bldg H1-3S, Lake Forest, IL, 60045, USA.
Shahrzad MoosaviPfizer Inc, New York, NY, USA.
Jeffrey ZhangPfizer Inc, 275 N Field Dr. Bldg H1-3S, Lake Forest, IL, 60045, USA.
Martin SummersPfizer Inc, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree comparative clinical studies assessed the pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity and safety of PF-06881893 (filgrastim-aafi; Nivestym™), a filgrastim biosimilar, versus US-licensed reference product (filgrastim; US-Neupogen

methodsTwo separate open-label, crossover-design PK/PD studies were conducted: a single-dose study (n = 24) and a multiple-dose study (n = 60). In each study, HVs were randomized to Nivestym followed by US-Neupogen, or vice versa. Study drug (5 μg/kg) was administered subcutaneously as a single injection or as five consecutive daily injections. Primary PK and PD endpoints were area under the filgrastim serum concentration-time curve, maximum observed concentration, area under the effect curve (AUEC) for absolute neutrophil count (ANC), maximum observed ANC, AUEC for cluster of differentiation (CD)-34

resultsOverall demographics were as follows: female (n = 162/340); White (n = 274/340), Black (n = 58/340), and other (n = 8/340); age (18-65 years); and weight (50.8-96.5 kg). All primary PK and PD endpoints met the pre-specified criteria for PK and PD equivalence. The primary endpoint in the comparative immunogenicity study met pre-specified criteria for non-inferiority.

conclusionsNivestym demonstrated PK and PD equivalence in single and multiple subcutaneous-dose settings and non-inferiority for immunogenicity to US-Neupogen, with a comparable safety profile, supporting the demonstration of biosimilarity.

trial registrationClinicalTrials.gov C1121002 (NCT02766647); C1121003 (NCT02766634); C1121012 (NCT02923791).

Indexed as

AdolescentAdultAgedArea Under CurveBiosimilar PharmaceuticalsCross-Over StudiesFemaleFilgrastimHealthy VolunteersHumansInjections, SubcutaneousMaleMiddle AgedNeutrophilsTherapeutic EquivalencyYoung AdultBiosimilar PharmaceuticalsFilgrastim

Identifiers

PMID30900158
PMCPMC6439167

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.