Evidence map›Paper›PMID 36381249›Full record

ArticleJournal of orthopaedic translation2023

Denosumab biosimilar (LY06006) in Chinese postmenopausal osteoporotic women: A randomized, double-blind, placebo-controlled, multicenter phase III study.

Jiemei Gu, Hao Zhang, Qingyun Xue, Li Wang, Zhifeng Cheng, Yawei Zhang, Qifu Li, Lingqing Yuan, Yukun Li, Jin Dong and 42 more

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic translation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Efficacy and safety of candidate biosimilar CT-P41 versus reference denosumab: a double-blind, randomized, active-controlled, Phase 3 trial in postmenopausal women with osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Trial
  5. Article
  6. Article
  7. Article
  8. The clinical trial landscape of anti-RANKL agents for osteoporosis: current status and future directions.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  9. 2023 January issue Journal of Orthopaedic Translation.Journal of orthopaedic translation · 2023
    Article
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

52 authors at 20 institutions in 2 countries.

Jiemei GuShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Diseases, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, PR China.
Hao ZhangShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Diseases, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, PR China.
Qingyun XueBeijing Hospital, PR China.
Li WangTianjin Hospital, PR China.
Zhifeng ChengFourth Affiliated Hospital of Harbin Medical University, PR China.
Yawei ZhangJiangxi Pingxiang People's Hospital, PR China.
Qifu LiThe First Affiliated Hospital of Chongqing Medical University, PR China.
Lingqing YuanThe Second Xiang-ya Hospital, Central South University, PR China.
Yukun LiThird Hospital of Hebei Medical University, PR China.
Jin DongFirst Hospital of Shanxi Medical University, PR China.
Yanan HuoJiangxi Provincial People's Hospital, PR China.
Xin TangWest China School of Medicine, West China Hospital of Sichuan University, PR China.
Ling HuThe First Hospital of Nanchang, PR China.
Xinjia WangThe Second Affiliated Hospital of Shantou University Medical College, PR China.
Fei HuaThe First People's Hospital of Changzhou, PR China.
Lin ShenUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, PR China.
Jinluo ChengChangzhou No. People's Hospital, PR China.
Huimin ZhouThe First Hospital of Hebei Medical University, PR China.
Youjia XuThe Second Affiliated Hospital of Soochow University, PR China.
Tao YangChongqing University Three Gorges Hospital, PR China.
Chuansuo WangThe First Affiliated Hospital of Hainan Medical College, PR China.
Jin XuShandong Provincial Hospital, PR China.
Jie ShenShunde Hospital of Southern Medical University, PR China.
Ying ZhangThe Third Affiliated Hospital of Guangzhou Medical University, PR China.
Xiaomei ZhangThe First Affiliated Hospital of Bengbu Medical College, PR China.
Dun HongTaizhou Hospital of Zhejiang Province, PR China.
Xiaoling GuanShandong Provincial Qianfoshan Hospital, PR China.
Xinhua XiaoThe First Affiliated Hospital of University of South China, PR China.
Guang WangCapital Medical University Affiliated Beijing Chao-Yang Hospital, PR China.
Yonghua LiuThe Third Hospital of Nanchang, PR China.
Liujun FuThe First Affiliated Hospital of Henan University of Science and Technology, PR China.
Jianting ChenNanfang Hospital of Southern Medical University, PR China.
Xigao ChengThe Second Affiliated Hospital of Nanchang University, PR China.
Yue DingSun Yat-sen Memorial Hospital,Sun Yat-sen University, PR China.
Lijun LiuYiyang Central Hospital, PR China.
Qi YaoNingbo First Hospital, PR China.
Xinchao ZhangJinshan Hospital of Fudan University, PR China.
Lixin LiXiamen Hospital of T.C.M, PR China.
Panjun ZhangYixing People's Hospital, PR China.
Chunying DengZigong Fourth People's Hospital, PR China.
Chengyan JiangThe First People's Hospital of Zunyi, PR China.
Li YouShanghai General Hospital, PR China.
Kai WangTaizhou Hospital of TCM, PR China.
Shimin ZhangYangpu Hospital,Tongji University, PR China.
Jianzhong XiaoBeijing Tsinghua Changgung Hospital, PR China.
Wei LiuNantong First People's Hospital, PR China.
Xiaohong DuThe First Affiliated Hospital of Wenzhou Medical University, PR China.
Xianwen ShangThe Affiliated Hospital of Guizhou Medical University, PR China.
Tianrong PanThe Second Hospital of Anhui Medical University, PR China.
Chen LeiGeneral Hospital of Ningxia Medical University, PR China.
Shuren GuoShandong Boan Biotechnology Co., Ltd., PR China.
Zhenlin ZhangShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Diseases, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, PR China.
Shanghai Sixth People's Hospital · CNHebei Medical University · CNJinshan Hospital of Fudan University · CNNanchang University · CNThird Affiliated Hospital of Guangzhou Medical University · CNWenzhou Medical University · CN174th hospital of the People's Liberation Army · CNAerospace Center Hospital · CNAnhui Medical University · CNBeijing Chao-Yang Hospital, Capital Medical University · CNBeijing Tsinghua Chang Gung Hospital · CNBeike Biotechnology (China) · CNCentral South University · CNChangzhou No.2 People's Hospital · CNChongqing Three Gorges Central Hospital · CNCM Hospital · KRFirst Affiliated Hospital of Henan University of Science and Technology · CNFirst Affiliated Hospital of University of South China · CNFirst People’s Hospital of Zunyi · CNGuiyang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study assessed the efficacy, safety, pharmacokinetics (PK), and immunogenicity profiles of a denosumab biosimilar (LY06006) in Chinese postmenopausal osteoporotic women with a high risk of fracture. Methods: In this multicenter, randomized, double-blind, placebo-controlled, phase 3 trial, 448 postmenopausal women aged 50-85 years with osteoporosis were enrolled at 49 centers in China and were randomly assigned (3:1) to receive 60 ​mg of the denosumab biosimilar (LY06006) or placebo subcutaneously every 6 months for 1 year. Lumbar spine bone mineral density (BMD) change was the primary endpoint. Results: Of the 448 randomized patients, 409 (LY06006, n ​= ​311; placebo, n ​= ​98) completed the study. All 448 (100.0%) subjects were included in the intent-to-treat (ITT) trial, 427 (95.3%) were included in the full analysis set (FAS), 408 (91.1%) were included in the per protocol set (PPS), 446 (99.6%) were included in the safety set (SS), and 336 (75.0%) were included in the pharmacokinetics concentration set (PKCs). For the primary endpoint, a 4.71% (95% CI, 3.81%, 5.60%) treatment difference in percent change in lumbar spine BMD from baseline to month 12 was observed in the LY06006 group compared with the placebo group (P ​< ​0.0001). For the secondary endpoints, LY06006 was associated with increased lumbar spine BMD levels measured at month 6, BMD levels at the femoral neck, total hip, and trochanter measured at months 6 and 12 and reduced serum C-terminal telopeptide of type 1 collagen (CTX) and procollagen type 1 ​N-peptide (P1NP) levels at months 1, 6, and 12. Safety analysis was based on the safety analysis set (SS), and 264 (78.6%) subjects in the LY06006 group and 83 (75.5%) in the placebo group experienced adverse events (AEs). Most events were mild or moderate and not related to the study drugs. Conclusion: In postmenopausal women with a high risk of fracture, LY06006 increased the BMD and decreased bone resorption; thus, LY06006 might be an effective treatment for osteoporosis. LY06006 was generally safe and well tolerated without unexpected adverse reactions, similar to the reference drug Prolia®. The characteristics of effectiveness and safety were similar to those reported in previous studies. The translational potential of this article: In this multi-center, randomized, double-blind, placebo-controlled phase 3 study, LY06006 showed substantially efficacy to increase BMD and well tolerance without unexpected adverse reactions, which is comparable to the reference drug Prolia ®. The presented results are encouraging and can offer some valuable evidence for the clinical practice.

Indexed as

BiosimilarBone mineral densityDenosumabOsteoporosis

Identifiers

PMID36381249
PMCPMC9633870
OpenAlexW4308345173

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.