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A Study Comparing SB8 and Avastin® in Patients With Advanced Non-squamous Non-small Cell Lung Cancer

A Phase 3, Randomised, Double-blind Study to Compare the Efficacy, Safety, PK and Immunogenicity Between SB8 (Proposed Bevacizumab Biosimilar) and Avastin® in Subjects With Metastatic or Recurrent Non-squamous Non-small Cell Lung Cancer

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02754882
Enrollment
763
Registered
2016-04-28
Start date
2016-07-05
Completion date
2018-10-09
Last updated
2024-12-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung Cancer, Non-small Cell Lung Cancer

Keywords

NSCLC, bevacizumab, avastin

Brief summary

This study is designed to establish biosimilarity of SB8, a proposed biosimilar product of bevacizumab, to EU-sourced bevacizumab, in patients with metastatic or recurrent non-squamous non-small cell lung cancer (NSCLC).

Detailed description

Standard efficacy parameters, safety profiles, pharmacokinetics and immunogenicity will be compared between SB8 and bevacizumab.

Interventions

DRUGBevacizumab

Avastin® 15 mg/kg IV every 3 weeks on Day 1

DRUGSB8

SB8 15 mg/kg IV every 3 weeks on Day 1

DRUGCarboplatin

Carboplatin AUC 6 IV every 3 weeks on Day 1 for 4-6 cycles

DRUGPaclitaxel

Paclitaxel 200 mg/m2 IV every 3 weeks on Day 1 for 4-6 cycles

Sponsors

Samsung Bioepis Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Aged ≥ 18 years 2. ECOG performance status of 0-1 3. Histologically-confirmed metastatic or recurrent non-squamous non-small cell lung cancer 4. At least one measurable lesion according to RECIST v1.1. 5. Able to receive bevacizumab, carboplatin and paclitaxel based on adequate laboratory and clinical parameters

Exclusion criteria

1. Diagnosis of small cell carcinoma of the lung or squamous cell carcinoma 2. Sensitizing EGFR mutations or ALK rearrangements 3. Increased risk of bleeding determined by investigator based on radiographic / clinical findings 4. History of systemic chemotherapy administered in the first-line setting for metastatic or recurrent disease of NSCLC.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Best Overall Response (Best Overall Response Rate[ORR]) by 24 Weeks24 weeks from randomisationThe best ORR was defined as the proportion of subjects whose best overall response was either Complete Response (CR) or Partial Response (PR) according to RECIST v1.1 during the induction treatment period by 24 weeks. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Secondary

MeasureTime frameDescription
Progression Free Survivalfrom the date of randomisation to the date of disease progression or death up to 12 months from randomisation of the last subjectPFS is defined as the time from the date of Randomisation to the date of disease progression (progressive disease \[PD\]) or death regardless of the cause of death. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).
Overall Survivalfrom the date of randomisation to the date of death up to 12 months from randomisation of the last subjectOS was defined as the time from the date of randomisation to the date of death regardless of the cause of death. Subjects who were alive at the time of analysis were censored at the date of last known alive.
Duration of Response (DoR)from documented tumour response until disease progression up to 12 months from randomisation of the last subjectDoR in subjects with response from documented tumour response until disease progression up to 12 months from randomisation of the last subject
Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03AEs were reported from the time the informed consent form (ICF) was signed until the EOT visit, approximately 24 months from study initiation.After the end of treatment (EOT) visit, SAEs should be reported to the Sponsor if the Investigator becomes aware of them. Severity Grade of NCI-CTCAE v4.03 Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL) (Instrumental ADL refers to preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc.) Grade 3: Severe or medically significant but not immediately life-threatening; hospitalisation or prolongation of hospitalisation indicated; disabling; limiting self-care ADL (Self-care ADL refer to bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden.) Grade 4: Life-threatening consequences; urgent intervention indicated Grade 5: Death related to AE
Pharmacokinetics: Maximum Plasma Concentration [Cmax]Up to 21 weeks (Cycle 1,3,5 and 7. Each cycle is 21 days.)Maximum Plasma Concentration (Cmax) at selected cycles (i.e., Cycle 1, 3, 5 and 7)
Immunogenicity Assessments (Anti-drug Antibodies)Up to 21 weeks (Cycle 1,3,5, 7 and EOT visit. Each cycle is 21 days.), approximately 24 months from study initiation.Incidence of anti-drug (bevacizumab) antibodies (ADA) The incidence of overall ADA results (i.e. Positive, Negative, Inconclusive) was presented by treatment group at Cycle 7 and the end of treatment (EOT). Overall ADA result was defined as below: * 'Positive' for a subject with treatment-induced or treatment-boosted ADA, where treatment-induced ADA indicated at least one positive result after pre-dose of Cycle 1 for subjects with negative ADA at pre-dose of Cycle 1, and treatment-boosted ADA indicated at least one positive result with higher titre level compared to pre-dose of Cycle 1 after pre-dose of Cycle 1 for subjects with positive ADA at pre-dose of Cycle 1. * 'Negative' for a subject without positive ADA until Cycle 7 and EOT. * 'Inconclusive' for a subject with positive ADA at Cycle 1 and without positive result with higher titre level observed after pre-dose of Cycle 1 up to Cycle 7 and EOT.
Immunogenicity Assessments (Neutralizing Antibodies)Up to 21 weeks (Cycle 1,3,5, 7 and EOT visit. Each cycle is 21 days.), approximately 24 months from study initiation.Incidence of anti-drug (bevacizumab) antibodies (ADA) - neutralizing antibodies (NAb) The analysis was performed using the Safety Set (SAF). Overall Number of Participants Analyzed represents the number of subjects in SAF. The total number is not the sum of the number of subjects of each visits, since NAb results only for subjects with ADA positive against SB8 or Avastin were used for the summary. Number Analyzed of each visit is equal to the number of subjects with ADA positive of each visit, which is displayed in 8. Secondary Outcome: Immunogenicity Assessments (Anti-drug Antibodies).
Pharmacokinetics: Trough Level [Ctrough]Up to 21 weeks (Cycle 1,3,5 and 7. Each cycle is 21 days.)Ctrough at selected cycles (i.e., Cycle 1, 3, 5 and 7)

Other

MeasureTime frameDescription
Best Objective Response Rate by 11 and 17 Weeks11 weeks and 17 weeks from randomisationBest Objective Response Rate (ORR) by 11 weeks and 17 weeks

Countries

Belarus, Georgia, Germany, Hungary, Poland, Romania, Russia, Serbia, South Korea, Spain, Taiwan, Thailand, Ukraine

Participant flow

Participants by arm

ArmCount
Bevacizumab (Avastin)
Avastin® + Carboplatin/Paclitaxel Bevacizumab: Avastin® 15 mg/kg IV every 3 weeks on Day 1 Carboplatin: Carboplatin AUC 6 IV every 3 weeks on Day 1 for 4-6 cycles Paclitaxel: Paclitaxel 200 mg/m2 IV every 3 weeks on Day 1 for 4-6 cycles
384
SB8 (A Proposed Bevacizumab Biosimilar)
SB8 + Carboplatin/Paclitaxel SB8: SB8 15 mg/kg IV every 3 weeks on Day 1 Carboplatin: Carboplatin AUC 6 IV every 3 weeks on Day 1 for 4-6 cycles Paclitaxel: Paclitaxel 200 mg/m2 IV every 3 weeks on Day 1 for 4-6 cycles
379
Total763

Baseline characteristics

CharacteristicBevacizumab (Avastin)SB8 (A Proposed Bevacizumab Biosimilar)Total
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
115 Participants124 Participants239 Participants
Age, Categorical
Between 18 and 65 years
269 Participants255 Participants524 Participants
Age, Continuous60.0 years
STANDARD_DEVIATION 9.18
60.2 years
STANDARD_DEVIATION 8.95
60.1 years
STANDARD_DEVIATION 20.84
Body Mass Index (BMI)25.49 kg/m^2
STANDARD_DEVIATION 4.707
25.50 kg/m^2
STANDARD_DEVIATION 4.809
25.50 kg/m^2
STANDARD_DEVIATION 4.755
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
35 Participants32 Participants67 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
348 Participants347 Participants695 Participants
Sex: Female, Male
Female
128 Participants127 Participants255 Participants
Sex: Female, Male
Male
256 Participants252 Participants508 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
171 / 380166 / 378
other
Total, other adverse events
316 / 380323 / 378
serious
Total, serious adverse events
81 / 38075 / 378

Outcome results

Primary

Percentage of Participants With Best Overall Response (Best Overall Response Rate[ORR]) by 24 Weeks

The best ORR was defined as the proportion of subjects whose best overall response was either Complete Response (CR) or Partial Response (PR) according to RECIST v1.1 during the induction treatment period by 24 weeks. CR: Disappearance of all target lesions. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Time frame: 24 weeks from randomisation

Population: The Full Analysis Set consisted of all randomised subjects. The subjects were analysed based on the treatment they were randomised to by intention-to-treat principle. However, subjects who did not qualify for randomisation and were inadvertently randomised into the study were excluded from FAS, provided these subjects did not receive any IP, and there was one subject who met these criteria. So, there is a difference between Started in Participant Flow module and Analysis Population.

ArmMeasureValue (NUMBER)
Bevacizumab (Avastin)Percentage of Participants With Best Overall Response (Best Overall Response Rate[ORR]) by 24 Weeks42.8 percentage of participants
SB8 (A Proposed Bevacizumab Biosimilar)Percentage of Participants With Best Overall Response (Best Overall Response Rate[ORR]) by 24 Weeks47.6 percentage of participants
90% CI: [0.975, 1.269]
Secondary

Duration of Response (DoR)

DoR in subjects with response from documented tumour response until disease progression up to 12 months from randomisation of the last subject

Time frame: from documented tumour response until disease progression up to 12 months from randomisation of the last subject

Population: Full Analysis Set (FAS): Consisted of all randomised subjects. The subjects were analysed based on the treatment they were randomised to by intention-to-treat principle.~Per-protocol Set (PPS): Consisted of all FAS subjects who completed at least first 2 cycles of combination chemotherapy with a tumour assessment and did not have any major protocol deviations that impacted the primary efficacy assessment.

ArmMeasureGroupValue (MEAN)Dispersion
Bevacizumab (Avastin)Duration of Response (DoR)FAS6.38 monthsStandard Deviation 3.773
Bevacizumab (Avastin)Duration of Response (DoR)PPS6.33 monthsStandard Deviation 3.784
SB8 (A Proposed Bevacizumab Biosimilar)Duration of Response (DoR)FAS6.79 monthsStandard Deviation 4.117
SB8 (A Proposed Bevacizumab Biosimilar)Duration of Response (DoR)PPS6.81 monthsStandard Deviation 4.177
Secondary

Immunogenicity Assessments (Anti-drug Antibodies)

Incidence of anti-drug (bevacizumab) antibodies (ADA) The incidence of overall ADA results (i.e. Positive, Negative, Inconclusive) was presented by treatment group at Cycle 7 and the end of treatment (EOT). Overall ADA result was defined as below: * 'Positive' for a subject with treatment-induced or treatment-boosted ADA, where treatment-induced ADA indicated at least one positive result after pre-dose of Cycle 1 for subjects with negative ADA at pre-dose of Cycle 1, and treatment-boosted ADA indicated at least one positive result with higher titre level compared to pre-dose of Cycle 1 after pre-dose of Cycle 1 for subjects with positive ADA at pre-dose of Cycle 1. * 'Negative' for a subject without positive ADA until Cycle 7 and EOT. * 'Inconclusive' for a subject with positive ADA at Cycle 1 and without positive result with higher titre level observed after pre-dose of Cycle 1 up to Cycle 7 and EOT.

Time frame: Up to 21 weeks (Cycle 1,3,5, 7 and EOT visit. Each cycle is 21 days.), approximately 24 months from study initiation.

Population: The analysis was performed using the Safety Set (SAF). The SAF consisted of all subjects who received the study drug at least once. This analysis set was used for the safety analyses. The subjects were analysed based on the treatment they received.~There were 4 subjects in Avastin group and 1 subject in SB8 group who had not received any IP or non-IP treatment.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Positive15 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Negative357 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Inconclusive (only applicable for Overall)0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Positive29 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Negative309 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Inconclusive (only applicable for Overall)0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Positive15 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Negative286 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Inconclusive (only applicable for Overall)0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Positive28 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Negative238 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Inconclusive (only applicable for Overall)0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOTPositive21 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOTNegative129 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOTInconclusive (only applicable for Overall)0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallPositive46 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallNegative284 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallInconclusive (only applicable for Overall)11 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallPositive55 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallNegative276 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallInconclusive (only applicable for Overall)10 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Negative259 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Positive15 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallPositive37 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Negative356 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Inconclusive (only applicable for Overall)0 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 1 (BL)Inconclusive (only applicable for Overall)0 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallNegative294 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Positive22 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOTPositive9 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Negative316 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallInconclusive (only applicable for Overall)9 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 3Inconclusive (only applicable for Overall)0 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOTNegative152 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Positive21 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallInconclusive (only applicable for Overall)9 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Negative275 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOTInconclusive (only applicable for Overall)0 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 5Inconclusive (only applicable for Overall)0 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)EOT OverallNegative291 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7Positive20 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Anti-drug Antibodies)Cycle 7 OverallPositive34 Participants
Secondary

Immunogenicity Assessments (Neutralizing Antibodies)

Incidence of anti-drug (bevacizumab) antibodies (ADA) - neutralizing antibodies (NAb) The analysis was performed using the Safety Set (SAF). Overall Number of Participants Analyzed represents the number of subjects in SAF. The total number is not the sum of the number of subjects of each visits, since NAb results only for subjects with ADA positive against SB8 or Avastin were used for the summary. Number Analyzed of each visit is equal to the number of subjects with ADA positive of each visit, which is displayed in 8. Secondary Outcome: Immunogenicity Assessments (Anti-drug Antibodies).

Time frame: Up to 21 weeks (Cycle 1,3,5, 7 and EOT visit. Each cycle is 21 days.), approximately 24 months from study initiation.

Population: The analysis was performed using the Safety Set (SAF). The SAF consisted of all subjects who received the study drug at least once. This analysis set was used for the safety analyses. The subjects were analysed based on the treatment they received.~There were 4 subjects in Avastin group and 1 subject in SB8 group who had not received any IP or non-IP treatment.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 1 (BL)Positive0 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 1 (BL)Negative15 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 3Positive9 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 3Negative20 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 5Positive5 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 5Negative10 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 7Positive12 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 7Negative16 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)EOTPositive9 Participants
Bevacizumab (Avastin)Immunogenicity Assessments (Neutralizing Antibodies)EOTNegative12 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 7Negative9 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 1 (BL)Positive1 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 5Negative13 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 1 (BL)Negative14 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)EOTNegative4 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 3Positive9 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 7Positive11 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 3Negative13 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)EOTPositive5 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Immunogenicity Assessments (Neutralizing Antibodies)Cycle 5Positive8 Participants
Secondary

Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03

After the end of treatment (EOT) visit, SAEs should be reported to the Sponsor if the Investigator becomes aware of them. Severity Grade of NCI-CTCAE v4.03 Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Grade 2: Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL) (Instrumental ADL refers to preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc.) Grade 3: Severe or medically significant but not immediately life-threatening; hospitalisation or prolongation of hospitalisation indicated; disabling; limiting self-care ADL (Self-care ADL refer to bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden.) Grade 4: Life-threatening consequences; urgent intervention indicated Grade 5: Death related to AE

Time frame: AEs were reported from the time the informed consent form (ICF) was signed until the EOT visit, approximately 24 months from study initiation.

Population: Safety Set (SAF): The Safety Set consisted of all subjects who received the study drug at least once.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03TEAEs348 Participants
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 147 Participants
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 2127 Participants
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 3119 Participants
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 433 Participants
Bevacizumab (Avastin)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 522 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 431 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03TEAEs346 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 397 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 157 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 527 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Number of Participants With Treatment-related Adverse Events Using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v4.03CTCAE Grade 2134 Participants
Secondary

Overall Survival

OS was defined as the time from the date of randomisation to the date of death regardless of the cause of death. Subjects who were alive at the time of analysis were censored at the date of last known alive.

Time frame: from the date of randomisation to the date of death up to 12 months from randomisation of the last subject

Population: Full Analysis Set (FAS): Consisted of all randomised subjects. The subjects were analysed based on the treatment they were randomised to by intention-to-treat principle.~Per-protocol Set (PPS): Consisted of all FAS subjects who completed at least first 2 cycles of combination chemotherapy with a tumour assessment and did not have any major protocol deviations that impacted the primary efficacy assessment.

ArmMeasureGroupValue (MEDIAN)
Bevacizumab (Avastin)Overall SurvivalFAS14.90 months
Bevacizumab (Avastin)Overall SurvivalPPS14.80 months
SB8 (A Proposed Bevacizumab Biosimilar)Overall SurvivalFAS15.80 months
SB8 (A Proposed Bevacizumab Biosimilar)Overall SurvivalPPS15.80 months
Secondary

Pharmacokinetics: Maximum Plasma Concentration [Cmax]

Maximum Plasma Concentration (Cmax) at selected cycles (i.e., Cycle 1, 3, 5 and 7)

Time frame: Up to 21 weeks (Cycle 1,3,5 and 7. Each cycle is 21 days.)

Population: Pharmacokinetic Population (PK Population): This set consisted of subjects allocated to PK sub-study who had at least one measured serum concentration of bevacizumab.~PK analyses were performed on the PK population. The number of participants analyzed in each Cycle is the number of participants in PK population with non-missing values or without protocol deviation for PK blood sampling at the cycle.

ArmMeasureGroupValue (MEAN)Dispersion
Bevacizumab (Avastin)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 1306.0352 ug/mLStandard Deviation 98.71872
Bevacizumab (Avastin)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 3374.9657 ug/mLStandard Deviation 106.54366
Bevacizumab (Avastin)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 5389.3132 ug/mLStandard Deviation 123.07791
Bevacizumab (Avastin)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 7397.5435 ug/mLStandard Deviation 120.74092
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 7426.1350 ug/mLStandard Deviation 144.24538
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 1302.6362 ug/mLStandard Deviation 87.10467
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 5397.6183 ug/mLStandard Deviation 125.84175
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Maximum Plasma Concentration [Cmax]Cycle 3399.4598 ug/mLStandard Deviation 136.27431
Secondary

Pharmacokinetics: Trough Level [Ctrough]

Ctrough at selected cycles (i.e., Cycle 1, 3, 5 and 7)

Time frame: Up to 21 weeks (Cycle 1,3,5 and 7. Each cycle is 21 days.)

Population: Pharmacokinetic Population (PK Population): This set consisted of subjects allocated to PK sub-study who had at least one measured serum concentration of bevacizumab.~PK analyses were performed on the PK population. The number of participants analyzed in each Cycle is the number of participants in PK population with non-missing values or without protocol deviation for PK blood sampling at the cycle.

ArmMeasureGroupValue (MEAN)Dispersion
Bevacizumab (Avastin)Pharmacokinetics: Trough Level [Ctrough]Cycle 10.0000 ug/mLStandard Deviation 0
Bevacizumab (Avastin)Pharmacokinetics: Trough Level [Ctrough]Cycle 383.7568 ug/mLStandard Deviation 44.49701
Bevacizumab (Avastin)Pharmacokinetics: Trough Level [Ctrough]Cycle 5109.0906 ug/mLStandard Deviation 50.65915
Bevacizumab (Avastin)Pharmacokinetics: Trough Level [Ctrough]Cycle 7121.7382 ug/mLStandard Deviation 62.6215
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Trough Level [Ctrough]Cycle 7133.7669 ug/mLStandard Deviation 58.84136
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Trough Level [Ctrough]Cycle 10.0000 ug/mLStandard Deviation 0
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Trough Level [Ctrough]Cycle 5119.9343 ug/mLStandard Deviation 54.65786
SB8 (A Proposed Bevacizumab Biosimilar)Pharmacokinetics: Trough Level [Ctrough]Cycle 3102.3939 ug/mLStandard Deviation 69.36822
Secondary

Progression Free Survival

PFS is defined as the time from the date of Randomisation to the date of disease progression (progressive disease \[PD\]) or death regardless of the cause of death. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), PD: At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression).

Time frame: from the date of randomisation to the date of disease progression or death up to 12 months from randomisation of the last subject

Population: Full Analysis Set (FAS): Consisted of all randomised subjects. The subjects were analysed based on the treatment they were randomised to by intention-to-treat principle. Per-protocol Set (PPS): Consisted of all FAS subjects who completed at least first 2 cycles of combination chemotherapy with a tumour assessment and did not have any major protocol deviations that impacted the primary efficacy assessment.

ArmMeasureGroupValue (MEDIAN)
Bevacizumab (Avastin)Progression Free SurvivalFAS8.50 months
Bevacizumab (Avastin)Progression Free SurvivalPPS8.50 months
SB8 (A Proposed Bevacizumab Biosimilar)Progression Free SurvivalFAS7.90 months
SB8 (A Proposed Bevacizumab Biosimilar)Progression Free SurvivalPPS7.90 months
Other Pre-specified

Best Objective Response Rate by 11 and 17 Weeks

Best Objective Response Rate (ORR) by 11 weeks and 17 weeks

Time frame: 11 weeks and 17 weeks from randomisation

Population: Full Analysis Set (FAS): Consisted of all randomised subjects. The subjects were analysed based on the treatment they were randomised to by intention-to-treat principle.~Per-protocol Set (PPS): Consisted of all FAS subjects who completed at least first 2 cycles of combination chemotherapy with a tumour assessment and did not have any major protocol deviations that impacted the primary efficacy assessment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Bevacizumab (Avastin)Best Objective Response Rate by 11 and 17 Weeks11 Weeks (FAS)107 Participants
Bevacizumab (Avastin)Best Objective Response Rate by 11 and 17 Weeks11 Weeks (PPS)99 Participants
Bevacizumab (Avastin)Best Objective Response Rate by 11 and 17 Weeks17 Weeks (FAS)159 Participants
Bevacizumab (Avastin)Best Objective Response Rate by 11 and 17 Weeks17 Weeks (PPS)149 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Best Objective Response Rate by 11 and 17 Weeks17 Weeks (PPS)137 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Best Objective Response Rate by 11 and 17 Weeks11 Weeks (FAS)100 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Best Objective Response Rate by 11 and 17 Weeks17 Weeks (FAS)152 Participants
SB8 (A Proposed Bevacizumab Biosimilar)Best Objective Response Rate by 11 and 17 Weeks11 Weeks (PPS)89 Participants

Source: ClinicalTrials.gov · Data processed: Feb 9, 2026