Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial

ObjectiveTo evaluate the similarity of BAT2606 and mepolizumab, including pharmacokinetic profiles, immunogenicity, and safety, in healthy Chinese men.MethodsThis randomized, double-blind, parallel three-arm, single-dose Phase I clinical study enrolled 207 subjects. All subjects enrolled in this stu...

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Main Authors: Cuiyun Li, Jixuan Sun, Jia Xu, Min Wu, Xiaojiao Li, Zhijie Liu, Qingfeng Dong, Yu Sun, Yanhua Ding
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1580883/full
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author Cuiyun Li
Jixuan Sun
Jia Xu
Min Wu
Xiaojiao Li
Zhijie Liu
Qingfeng Dong
Yu Sun
Yanhua Ding
author_facet Cuiyun Li
Jixuan Sun
Jia Xu
Min Wu
Xiaojiao Li
Zhijie Liu
Qingfeng Dong
Yu Sun
Yanhua Ding
author_sort Cuiyun Li
collection DOAJ
description ObjectiveTo evaluate the similarity of BAT2606 and mepolizumab, including pharmacokinetic profiles, immunogenicity, and safety, in healthy Chinese men.MethodsThis randomized, double-blind, parallel three-arm, single-dose Phase I clinical study enrolled 207 subjects. All subjects enrolled in this study were randomly assigned to receive BAT2606 or mepolizumab (European-sourced Nucala [Nucala-EU] and US-sourced Nucala [Nucala-US]) at a 1:1:1 ratio. In total, 206 subjects received a subcutaneous injection of 100 mg of one of the drugs in this study.ResultsThe mean drug concentration–time curves were similar among the three groups. The 90% confidence intervals of the geometric mean ratios of maximum concentration and area under the curve from time 0 to infinity were within 80.00%–125.00%. There were no adverse events leading to study discontinuation or death, no serious adverse events, and no local injection-site reactions. The rates of adverse events and treatment-related adverse events were comparable among the BAT2606 (78.3% and 66.7%, respectively), Nucala-US (76.5% and 64.7%, respectively), and Nucala-EU groups (82.6% and 71.0%, respectively). The majority of treatment-related adverse events were grade 1 or 2 in severity based on Common Terminology Criteria for Adverse Events version 5.0. Anti-drug antibodies (ADAs) were detected in 4 (5.8%), 10 (14.7%), and 10 subjects (14.5%) in the BAT2606, Nucala-US, and Nucala-EU groups, respectively. All subjects with a positive ADA result were negative for neutralizing antibodies.ConclusionBAT2606 injection was pharmacokinetically bioequivalent to Nucala-US and Nucala-EU in healthy Chinese men. BAT2606 was well tolerated, and its overall safety profile was similar to those of Nucala-US and Nucala-EU. BAT2606 had a numerically lower ADA incidence than Nucala-US and Nucala-EU.Clinical Trial Registrationhttps://www.clinicaltrials.gov/study/NCT05576454?term=BAT2606&rank=1.
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publishDate 2025-07-01
publisher Frontiers Media S.A.
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series Frontiers in Pharmacology
spelling doaj-art-2e95dd272233423497f85edc5c8696822025-08-20T03:55:48ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-07-011610.3389/fphar.2025.15808831580883Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trialCuiyun Li0Jixuan Sun1Jia Xu2Min Wu3Xiaojiao Li4Zhijie Liu5Qingfeng Dong6Yu Sun7Yanhua Ding8Phase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaPhase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaPhase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaPhase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaPhase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaBio-Thera Solutions, Ltd., Guangzhou, Guangdong, ChinaBio-Thera Solutions, Ltd., Guangzhou, Guangdong, ChinaBio-Thera Solutions, Ltd., Guangzhou, Guangdong, ChinaPhase I Clinical Research Center, First Hospital of Jilin University, Changchun, Jilin, ChinaObjectiveTo evaluate the similarity of BAT2606 and mepolizumab, including pharmacokinetic profiles, immunogenicity, and safety, in healthy Chinese men.MethodsThis randomized, double-blind, parallel three-arm, single-dose Phase I clinical study enrolled 207 subjects. All subjects enrolled in this study were randomly assigned to receive BAT2606 or mepolizumab (European-sourced Nucala [Nucala-EU] and US-sourced Nucala [Nucala-US]) at a 1:1:1 ratio. In total, 206 subjects received a subcutaneous injection of 100 mg of one of the drugs in this study.ResultsThe mean drug concentration–time curves were similar among the three groups. The 90% confidence intervals of the geometric mean ratios of maximum concentration and area under the curve from time 0 to infinity were within 80.00%–125.00%. There were no adverse events leading to study discontinuation or death, no serious adverse events, and no local injection-site reactions. The rates of adverse events and treatment-related adverse events were comparable among the BAT2606 (78.3% and 66.7%, respectively), Nucala-US (76.5% and 64.7%, respectively), and Nucala-EU groups (82.6% and 71.0%, respectively). The majority of treatment-related adverse events were grade 1 or 2 in severity based on Common Terminology Criteria for Adverse Events version 5.0. Anti-drug antibodies (ADAs) were detected in 4 (5.8%), 10 (14.7%), and 10 subjects (14.5%) in the BAT2606, Nucala-US, and Nucala-EU groups, respectively. All subjects with a positive ADA result were negative for neutralizing antibodies.ConclusionBAT2606 injection was pharmacokinetically bioequivalent to Nucala-US and Nucala-EU in healthy Chinese men. BAT2606 was well tolerated, and its overall safety profile was similar to those of Nucala-US and Nucala-EU. BAT2606 had a numerically lower ADA incidence than Nucala-US and Nucala-EU.Clinical Trial Registrationhttps://www.clinicaltrials.gov/study/NCT05576454?term=BAT2606&rank=1.https://www.frontiersin.org/articles/10.3389/fphar.2025.1580883/fullBAT2606 injectionbiosimilarmepolizumabpharmacokineticssafetyimmunogenicity
spellingShingle Cuiyun Li
Jixuan Sun
Jia Xu
Min Wu
Xiaojiao Li
Zhijie Liu
Qingfeng Dong
Yu Sun
Yanhua Ding
Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
Frontiers in Pharmacology
BAT2606 injection
biosimilar
mepolizumab
pharmacokinetics
safety
immunogenicity
title Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
title_full Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
title_fullStr Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
title_full_unstemmed Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
title_short Comparison of pharmacokinetic similarity, immunogenicity, and safety of mepolizumab and BAT2606 in healthy Chinese men in a double-blinded, randomized, single-dose, three-arm parallel-group phase I trial
title_sort comparison of pharmacokinetic similarity immunogenicity and safety of mepolizumab and bat2606 in healthy chinese men in a double blinded randomized single dose three arm parallel group phase i trial
topic BAT2606 injection
biosimilar
mepolizumab
pharmacokinetics
safety
immunogenicity
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1580883/full
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