A randomized, double-blinded, controlled cross over study in healthy adult male volunteers
using euglyceamic clamp technique was conducted to evaluate the equivalence of pharmacokinetic
and pharmacodynamic between Insulin Glargine Biosimilar(hereinafter referred to as
FFP-112)and Lantus®.
A total of 81 subjects was administered the investigational drug. Pharmacokinetic analyses
showed mean ratio between the drug products in 0.9520 of AUC0-30 and 0.9590 of Cmax, respectively, with 90% confidence intervals for the mean ratio between the drug products of 0.9100
to 0.9960 and 0.9097 to 1.0109, respectively. Pharmacodynamic analyses showed mean ratio
between the drug products in 0.9885 of AUCGIR0-30 and 0.9990 of GIRmax, respectively, with
95% confidence intervals for the mean ratio between the drug products of 0.9026 to 1.0826
and 0.9243 to 1.0797, respectively. Thus, all the pharmacokinetic and pharmacodynamic analyses
results met the prespecified criteria for equivalence(0.8 to 1.25).
The incidence of adverse events was similar between the groups: 9.9% for FFP-112 and
11.1% for Lantus®. All of the observed adverse events were mild in severity, and no adverse
drug reactions were found in either group.
The results above demonstrate that FFP-112 is pharmacokinetically and pharmacodynamically
equivalent to Lantus®. It is shown that the hypoglycemic effects of FFP-112 last for
almost 24 hours as with Lantus®. For both FFP-112 and Lantus®, a single subcutaneous dose is
shown to raise no safety concern. It is thus concluded that FFP-112 can be used to treat
patients with diabetes mellitus for whom insulin therapy is indicated.