Evidence map›Paper›PMID 41324032›Full record

ArticleJournal of the Endocrine Society2025

LUMIADE 3: Therapeutic Equivalence of Denosumab Biosimilar FKS518 to Reference Product in Postmenopausal Osteoporosis.

Ewa Krecipro-Nizinska, Wojciech Pluskiewicz, Jerzy Supronik, Peter Szeles, Corinne Petit-Frere, Elsa Varone, Serge Ferrari, Ivo Valter

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Ewa Krecipro-NizinskaCentrum Medyczne FutureMeds Wroclaw, Wrocław 53-673, Poland.
Wojciech PluskiewiczDepartment and Clinic of Internal Diseases, Diabetology and Nephrology, Metabolic Bone Diseases Unit, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice 41-800, Poland.
Jerzy SupronikZDROWIE Osteo-Medic s.c., L. i-A. Racewicz, A. i J. Supronik, Białystok 15-351, Poland.
Peter SzelesDepartment of Clinical Development, Fresenius Kabi SwissBioSim, CH-1262 Eysins, Switzerland.
Corinne Petit-FrereDepartment of Clinical Development, Fresenius Kabi SwissBioSim, CH-1262 Eysins, Switzerland.ORCID https://orcid.org/0009-0008-0289-6556
Elsa VaroneDepartment of Clinical Development, Fresenius Kabi SwissBioSim, CH-1262 Eysins, Switzerland.
Serge FerrariDivision of Bone Diseases, Geneva University Hospital and Faculty of Medicine, University of Geneva, CH-1211 Geneva, Switzerland.ORCID https://orcid.org/0000-0002-1372-4417
Ivo ValterNordestmedical Center, Center for Clinical and Basic Research AS, Tallinn 10128, Estonia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To demonstrate therapeutic equivalence of the proposed denosumab biosimilar FKS518 to the originator denosumab (US-licensed Prolia®, reference product), a potent antiresorptive biologic that increases bone mineral density (BMD) and reduces the risk of fractures, in women with postmenopausal osteoporosis. Methods: This 78-week double-blind, controlled, randomized, multicenter, multiple-dose, 2-arm, parallel-group study compared the efficacy (BMD), pharmacodynamic (bone biomarkers), safety, tolerability, and immunogenicity profiles of FKS518 with those of reference denosumab in women with postmenopausal osteoporosis. Primary-percentage change from baseline to 52 weeks in lumbar spine BMD and area under the effect curve from baseline to week 26 of serum C-terminal cross-linking telopeptide of type 1 collagen-and secondary results from the 52-week core treatment period are reported here. Results: Postmenopausal women with osteoporosis were randomized to receive 60 mg of FKS518 (n = 277) or reference denosumab (n = 276) every 26 weeks. Demographics, baseline characteristics and medical history were similar between treatment groups. Therapeutic equivalence of FKS518 and reference denosumab was demonstrated for efficacy and pharmacodynamic characteristics. All sensitivity analyses, supportive estimands, secondary efficacy, and pharmacodynamic endpoint analyses consistently showed similarity between the 2 products. Safety outcomes were consistent with the known safety profile of denosumab and were comparable between FKS518 and reference denosumab. Immunogenicity was infrequently observed and similar between the FKS518 and the reference denosumab groups. Conclusion: This study demonstrated therapeutic equivalence of, and comparable pharmacokinetics, safety, and immunogenicity profiles between FKS518 and reference denosumab, completing the clinical evidence to propose FKS518 as a biosimilar to denosumab.

Indexed as

biosimilaritydenosumabefficacyFKS518osteoporosispostmenopausal

Identifiers

PMID41324032
PMCPMC12659736

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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.