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Phase 3 Completed N=532 Randomized Quadruple-blind Treatment

Multicenter Study in Postmenopausal Women With Osteoporosis, ALVOBOND

Osteoporosis, Postmenopausal
Source: ClinicalTrials.gov NCT05395091 ↗
Enrolled (actual)
532
Serious AEs
2.9%
Results posted
May 2025
Primary outcomePrimary: Percent Change From Baseline in LS BMD at Month 12 to Demonstrate Comparable Efficacy of AVT03 and Prolia®. — 5.3; 5.18 Percent Change From Baseline in LS BMD
◆ Published Evidence
Emerging
4citations · ~4 / year
A randomized, double blind, parallel design, repeat dose, 2-arm, multicenter study comparing the efficacy, safety, immunogenicity, and pharmacokinetic profiles of a denosumab biosimilar, AVT03, in postmenopausal women with osteoporosis.
Expert opinion on biological therapy · 2025 · Likely link

Summary

This is a randomized, double-blind, parallel design, repeat dose, 2 arm, multicenter study comparing the efficacy, safety, immunogenicity, pharmacodynamic (PD) and pharmacokinetic (PK) profiles of AVT03 and US-Prolia in postmenopausal women with osteoporosis.

Linked Publications

  • A randomized, double blind, parallel design, repeat dose, 2-arm, multicenter study comparing the efficacy, safety, immunogenicity, and pharmacokinetic profiles of a denosumab biosimilar, AVT03, in postmenopausal women with osteoporosis.
    Expert opinion on biological therapy · 2025 · 4 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change From Baseline in LS BMD at Month 12 to Demonstrate Comparable Efficacy of AVT03 and Prolia®.
5.3; 5.18 —
PRIMARY
To Demonstrate Comparable Profile of AVT03 and Prolia in Terms of Area Under the Percent Change From Baseline in Serum C-telopeptide of Type 1 Collagen (AUEC of %Cfb sCTX-1)
2345.55; 2342.87 —
SECONDARY
Percent Change From Baseline in LS BMD
— —
SECONDARY
Percent Change From Baseline in Hip and Femoral Neck BMD
— —
SECONDARY
Incidence of New Morphometric Vertebral Fractures
— —
SECONDARY
Percent Change From Baseline in sCTX-1
— —
SECONDARY
Incidence, Nature and Severity of Adverse Events Including Adverse Drug Reactions
— —
SECONDARY
Frequency and Severity of Injection Site Reactions
— —
SECONDARY
Frequency and Severity of Findings in Routine Safety Parameters
— —
SECONDARY
Frequency and Titer of Anti-drug Antibodies and Frequency of Neutralizing Antibodies Against AVT03 and Prolia
— —
SECONDARY
Serum Trough Concentration of AVT03 and Prolia
— —

Eligibility Criteria

  • Postmenopausal women with osteoporosis willing to sign an informed consent form (ICF)and able to undergo protocol related procedures.
  • A baseline dual-energy x-ray absorptiometry (DXA) scan with a T score ≤-2.5 and
  • 4.0 at the LS (L1 to L4)and/or, total hip, and/or femoral neck.
  • Age: ≥50 years.
  • Female subject is postmenopausal according to 1 of the following criteria:
  • Spontaneous amenorrhea for ≥12 consecutive months
  • Biochemical criteria of menopause, follicle-stimulating hormone, >40 IU/L except surgically sterile
  • Having had bilateral oophorectomy ≥6 weeks prior to Screening
  • Willing to receive calcium plus vitamin D supplements.
  • At least 2 consecutive evaluable lumbar vertebrae and at least 1 evaluable hip.

Exclusion Criteria

  • Evidence of clinically relevant pathology, especially prior diagnosis of bone disease, or any uncontrolled condition that will affect bone metabolism
  • History and/or presence of 1 severe or more than 1 moderate vertebral fractures confirmed by x-ray.
  • History of hip fracture
  • Presence of active healing fractures
  • Osteonecrosis of the jaw (ONJ) or risk factors for ONJ such as invasive dental procedures
  • Evidence of hypo/hypercalcemia at Screening
  • Known vitamin D deficiency
  • Known intolerance to calcium and vitamin D supplement.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05395091) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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